Company Basics
When was AmeriHealth Caritas founded?
1983
What types of plans does AmeriHealth Caritas primarily manage?
Medicaid, Medicare, Behavioral Health, LTSS, and Pharmacy Benefit Management.
What’s the difference between Medicare and Medicaid?
Medicare = Federal insurance for 65+ or disabled. Medicaid = State/federal program for low-income individuals.
AmeriHealth Caritas operates Medicaid managed care plans in how many+ states?
Over 10 states + DC.
Name a wellness tip AmeriHealth might share with members.
Exercise, eat balanced meals, get preventive care, manage stress.
What is the company's mission?
Helping people get care, stay well, and build healthy communities.
What is the purpose of care management programs?
To provide members with coordinated support for chronic conditions, preventive care, and social needs.
What does HEDIS stand for?
Healthcare Effectiveness Data and Information Set—used to measure health plan performance.
Give an example of a state where AmeriHealth Caritas operates.
Pennsylvania, South Carolina, Louisiana, Florida, Michigan, DC, etc.
What might “AmeriHealth Caritas” mean?
“Caritas” is Latin for “charity” or “love for humankind.”
Where is AmeriHealth Caritas headquartered?
Philadelphia, Pennsylvania.
Name an example of a social determinant of health (SDOH) challenge AmeriHealth helps address.
Food insecurity, housing, transportation, or employment support.
What is NCQA accreditation?
Certification that a health plan meets national quality standards.
Why does AmeriHealth partner with local communities?
To address health disparities and improve overall wellness.
What common office activity is used for team building (like Jeopardy)?
Trivia games, wellness challenges, or group activities.
What are the company's core values?
Care, Compassion, Responsibility, Community, and Integrity.
What type of care model does AmeriHealth emphasize to improve quality and outcomes?
Value-based care.
What does “preventive care” mean?
Services like screenings, vaccines, and wellness visits to prevent illness or catch it early.
What types of local support services are commonly offered?
Job training, food programs, health education, housing assistance.
Which AmeriHealth program helps with long-term care needs?
LTSS (Long-Term Services and Supports).
What does "AmeriHealth Caritas" mean?
"Caritas" is Latin for charity/love for humankind.
What is “community outreach” in the AmeriHealth Caritas model?
Programs that support members outside the doctor’s office—like food pantries, maternal health programs, or job readiness initiatives.
What does “integrated behavioral health” mean?
Combining mental health and substance use services with physical health care.
Which population does AmeriHealth Caritas primarily serve?
Medicaid-eligible and low-income families/individuals.
What is one way employees contribute to AmeriHealth’s mission daily?
By helping members navigate healthcare, supporting wellness, and living the core values.