AmeriHealth NJ and The Heart House Reach Agreement on New Contract; Establish Risk-Based Quality Program

AmeriHealth NJ and The Heart House Reach Agreement on New Contract; Establish Risk-Based Quality Program

AmeriHealth New JerseyJill Roman, 609-662-2454Public Relations Manager

AmeriHealth NJ today announced that the company has renewed its contract with Cardiovascular Associates of Delaware Valley (The Heart House), which includes a new risk-based quality program.

The Heart House is a group of board-certified cardiologists providing comprehensive cardiovascular care. With offices throughout Southern New Jersey, and affiliations with nine hospitals, they offer a full complement of services in both the outpatient and inpatient settings.

As part of the risk-based quality program, metrics have been established in the renewed contract and will be used as criteria in measuring the cost and quality of care provided by The Heart House to AmeriHealth NJ members. The metrics include medication compliance, frequency of cardiac imaging and hospitalization rates including admissions, readmissions and emergency room visits.

“We are proud to partner with The Heart House on this new program,” said Michael Ruiz de Somocurcio, vice president of contracting and reimbursement for AmeriHealth New Jersey. “This is a unique agreement that is truly risk-based as The Heart House has agreed to tie part of their reimbursement to performance, which will be measured by the metrics we have established.”

“The Heart House has always been at the cutting edge of delivering the highest quality cardiac services to our patients,” said Dr. Sanford Gips, managing partner for The Heart House. “This partnership with AmeriHealth New Jersey will allow us to continue advancing our mission of improving and maintaining the health and well-being of our patients and their families.”

The new agreement between AmeriHealth NJ and The Heart House is a three-year contract.

This is the third quality program that AmeriHealth NJ has initiated through partnerships with providers in the past two months. “We are committed to working with our partners to transform the way health care is delivered in the State of New Jersey,” said Ruiz de Somocurcio.

AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth New Jersey) provide health insurance coverage to employers and individuals throughout New Jersey. The company has the largest provider network in New Jersey*, and that network includes access to hospitals and doctors across the nation. The company is also committed to offering value-added insurance solutions for customers through its innovative wellness and incentive programs and benefits designs.

The company's managed care plan, AmeriHealth HMO, Inc. is accredited by National Committee for Quality Assurance (NCQA).

AmeriHealth New Jersey and its affiliates are a growing group of insurance and health companies whose product portfolios include health insurance, workers' compensation, property and casualty insurance, and management services. AmeriHealth New Jersey headquarters are located in Cranbury, NJ. For more information on AmeriHealth, visit .

* Based on analysis done through an independent source.

The Heart House is a group of board-certified cardiologists that provide comprehensive cardiovascular care in Southern New Jersey. They offer a full complement of services that are delivered in both the outpatient and inpatient settings. They have offices throughout Southern New Jersey and practice in nine hospitals, which allows patients access, wherever their heart takes them.

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