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In the News: 2011

AmeriHealth Mercy leverages mobile technology to improve care for its Medicaid members

September 13, 2011
Eric Wicklund, Senior Editor
Healthcare IT News

PHILADELPHIA – One of the country's largest Medicaid insurers, AmeriHealth Mercy, has announced plans to equip more than150 primary care physicians in Pennsylvania with mobile devices that will have access to their patients' health plan-based information, enabling them to keep track of prescriptions and receive important clinical alerts at the point of care.

In a deal announced Tuesday with Boston-based real-time healthcare communications network NaviNet, AmeriHealth will launch a six-month pilot project in its home state on Oct. 1, offering a mobile platform to approximately 167 physicians. Those physicians will have access, via mobile devices, to patient-specific clinical and medication information, as well as e-prescribing services.
"We feel that moment between the patient and the caregiver is the moment in healthcare," said Jay Feldstein, DO, regional president of Philadelphia-based AmeriHealth's northern division. "This allows them to actually see the care gaps at the point of care, and to act on them."

AmeriHealth will roll out these mobile clinical care alerts and e-prescribing services as a result of a deal with NaviNet Mobile Connect, launched this past June by NaviNet. Through NaviNet Prescribe, the company's e-prescribing and clinical decision support solution, AmeriHealth physicians will be able to access PerformRx, AmeriHealth's pharmacy benefit manager, enabling them to discuss treatment plans and drug alternatives with the patient. Through NaviNet Care Alerts, those physicians will also be able to receive timely clinical messages, such as information on missed tests, procedures or therapies that should be discussed with the patient.

"Access to comprehensive, real-time patient information is a critical part of providing high-quality care, especially when it comes to treating Medicaid patients, who may see several different healthcare providers and be prescribed multiple medications," Feldstein said in a press release issued Tuesday. "Mobile technology will allow physicians to have the latest clinical and medication information about patients covered by AmeriHealth Mercy, which will support doctor-patient engagement, a model that has been proven to improve patient care and reduce healthcare costs."

"AmeriHealth Mercy has proven its commitment to its members by arming physicians with actionable information, when and where they need it, to help patients recover faster and stay well longer," added S. Michael Ross, MD, MHA, NaviNet's chief medical officer, in the press release. "AmeriHealth Mercy's innovative use of technology to improve care and reduce costs should serve as a model for Medicaid plans across the country."

According to Feldstein, Medicaid patients require extra attention from physicians because they generally require more healthcare services, including prescriptions, and are therefore more prone to compliance problems. This is especially important when dealing with patients with chronic conditions, such as diabetes, asthma, high blood pressure and cardiac problems.

"The goal in all of this is to really try and affect the outcomes," he said. Since more than 80 percent of the nation's physicians now use smartphones, he pointed out, and since communication with patients is often seen as the biggest barrier to promoting prescription compliance, "this allows them to deliver the message in person and within seconds" of receiving a care alert.

Feldstein said the mobile platform will be rolled out to AmeriHealth physicians throughout Pennsylvania and in Indiana, South Carolina and Louisiana once the pilot is completed and evaluated.