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AMC Health保证为每1,000名高风险医疗保险优势计划会员实现420万美元的经核实年度节省

AMC Health Guarantees $4.2 Million in Validated Annual Savings for Every 1,000 High-Risk Medicare Advantage Members

CISION 等信源发布 2026-10-06 20:37

可切换为仅中文


Performance-based model combines primary care, care management, AI, remote monitoring and virtual care, with AMC Health compensated only when it delivers validated savings

基于绩效的模式将初级保健、护理管理、人工智能、远程监测和虚拟护理相结合,AMC Health 仅在实现经核实的节省时才获得补偿

NEW YORK

纽约

,

,

Oct. 6, 2026

2026年10月6日

/PRNewswire/ -- AMC Health today announced a new outcomes-based model for their

/美通社/ -- AMC Health 今日宣布为其推出一种新的基于结果的模型

Accountable Primary Care offering

可问责初级医疗服务产品

, backed by a $4.2 million commitment in validated savings for a typical 1,000-member cohort. Health plans pay no implementation fee, platform fee, or base compensation. AMC Health earns performance compensation only from validated savings, measured against the health plan's own claims data.

,并获得了针对典型1000人参保群体所验证的420万美元节约成本的承诺支持。健康计划无需支付任何实施费、平台费或基础报酬。AMC Health仅从经验证的节约成本中获得绩效报酬,该节约成本是依据健康计划自身的理赔数据进行衡量的。

Rather than simply identifying risk and alerting another provider, AMC Health's affiliated clinicians can act on that information and follow through on care.

AMC Health 的关联临床医生不仅能够识别风险并向其他提供方发出警报,还能依据这些信息采取行动并落实后续护理。

'Most organizations can identify risk. Some can influence it. Very few can directly manage it,' said Nesim Bildirici, Founder and CEO of AMC Health. 'After 24 years of building the clinical, operational, and technology infrastructure required to affect outcomes, we believe accountability should follow capability.

“大多数组织能够识别风险,部分组织能够影响风险,但极少有组织能够直接管理风险。”AMC Health 创始人兼首席执行官内西姆·比尔迪里奇表示,“经过24年构建影响临床结果所需的临床、运营和技术基础设施,我们认为问责制应当与能力相匹配。”

That is why we put our fees at risk and stand behind the results we deliver. We believe continuous, proactive care should become the standard for managing high-risk chronic populations.'.

这就是为什么我们将服务费用与成效挂钩,并对我们交付的结果负责。我们相信,持续、主动的照护应成为管理高风险慢性人群的标准模式。

Continuous Primary Care, Powered by Data From the Home

由家庭数据驱动的连续初级保健

Accountable Primary Care combines daily data from the home with clinically governed AI that helps physicians identify which patients need attention and when. AMC Health's affiliated clinicians can then act directly, conducting visits, prescribing when clinically appropriate, adjusting treatment plans, ordering services, coordinating referrals, closing care gaps, supporting medication adherence, and following through until an issue is resolved..

责任式初级保健将来自家庭的日常数据与临床监管的人工智能相结合,帮助医生识别哪些患者需要关注以及何时需要关注。AMC Health 的关联临床医生随后可直接采取行动,包括开展诊疗、在临床适宜时开具处方、调整治疗方案、安排服务、协调转诊、弥补护理缺口、支持用药依从性,并持续跟进直至问题解决。

The model is designed to work with the care relationships members already have. When a member has an active primary care physician, AMC Health's affiliated clinicians work alongside that physician between visits, supporting the existing treatment plan while attribution remains unchanged. When a member does not have an active primary care relationship, AMC Health's affiliated clinical network can become the primary care provider of record and assume responsibility for ongoing clinical management and outcomes..

该模型旨在与会员已有的护理关系协同运作。当会员拥有活跃的主治医师时,AMC Health 的关联临床医生会在就诊间隙与该医师协作,在保持归属关系不变的前提下支持现有治疗计划。当会员没有活跃的主治医师关系时,AMC Health 的关联临床网络可成为其正式的主要医疗服务提供方,并承担持续临床管理及健康结果的责任。

'Primary care becomes more powerful when physicians can see what is happening with patients between visits,' said Martin Maimon, MD, MPH, Physician Director, AMC Health Virtual Medical Group. 'By combining daily data from the home with AI that helps direct our attention to the members who need it most, we can intervene earlier, adjust care sooner, and help keep people stable before a problem becomes a hospitalization.'.

“当医生能够了解患者在两次就诊之间的状况时,初级保健的作用会更为强大。”AMC Health 虚拟医疗集团医师总监 Martin Maimon 医学博士、公共卫生硕士表示。“通过将居家每日数据与人工智能相结合,帮助我们将注意力集中在最需要的成员身上,我们可以更早干预、更快调整护理方案,并在问题演变为需要住院之前帮助患者保持病情稳定。”

'I have seen few vendors willing to put real dollars at risk against total cost of care the way AMC is doing. This changes the conversation from paying for a service to paying for improved outcomes, which is always what a health plan wants to achieve,' said a former VP of Network Strategy and Cost of Care and Senior Director of Medical Economics at a national health plan.

“我很少看到有供应商愿意像AMC那样,为降低总体医疗成本而真正承担财务风险。这将对话焦点从为服务付费转向为改善的健康结果付费,而这正是健康保险计划始终希望实现的目标。”一位全国性健康保险计划的前网络战略与医疗成本副总裁兼医疗经济学高级总监表示。

'Health plans looking for a credible path to reducing the cost of chronic conditions should take a close look at this model.'.

“寻求降低慢性病治疗成本的可信途径的健康计划应仔细审视这一模式。”

Aligning Payment With Results

将支付与结果挂钩

Health plans pay no implementation fee, platform fee, fixed program fee, or base compensation. AMC Health earns performance compensation only from validated savings measured in the health plan's own claims data.

健康计划无需支付实施费、平台费、固定项目费或基础报酬。AMC Health 仅从基于健康计划自身理赔数据核实的节省金额中赚取绩效报酬。

Medically necessary clinical services delivered through AMC Health's contracted clinical network are billed at the plan's in-network rates and are included in the total cost-of-care calculation used to validate savings.

通过AMC Health签约临床网络提供的 medically necessary 临床服务,按计划的网络内费率计费,并纳入用于验证节省金额的总医疗成本计算中。

For a typical cohort representing approximately 12,000 member months over a 12-month management period,

对于一个在12个月管理期内代表约12,000个会员月的典型队列,

AMC Health guarantees at least $4.2 million in validated savings (equivalent to $350 PMPM),

AMC Health 保证至少实现 420 万美元的经核实节省额(相当于每人每月 350 美元),

measured against a control group agreed to before enrollment begins.

与在入组开始前商定的对照组进行比较。

Built on More Than Two Decades of Continuous Care

依托二十余年的持续关怀

AMC Health's willingness to put its fees at risk is backed by more than two decades of experience supporting people with complex chronic conditions in the home. Since 2002, the company has built integrated clinical technology and operational infrastructure spanning remote patient monitoring, virtual care, care management, predictive analytics, and continuous patient engagement..

AMC Health 愿意将其费用置于风险之中,这得益于其在为患有复杂慢性病的患者提供居家支持方面积累的二十多年经验。自 2002 年以来,该公司已构建起一体化的临床技术和运营基础设施,涵盖远程患者监测、虚拟护理、护理管理、预测性分析以及持续的患者参与。

AMC Health's outcomes research includes a retrospective study of Medicaid beneficiaries with heart failure demonstrating $676 PMPM in claims cost savings and a 36% reduction in 30-day readmissions.

AMC Health 的结局研究包括一项针对患有心力衰竭的医疗补助(Medicaid)受益人的回顾性研究,结果显示每人每月索赔成本节省 676 美元,30 天再入院率降低 36%。

Accountable Primary Care is available to health plans, serving high-risk Medicare Advantage members, including people living with heart failure, COPD, diabetes, hypertension, and multiple chronic conditions, as well as those with recent hospitalizations, frequent emergency department utilization, or limited access to primary care..

可问责初级保健服务面向健康计划提供,服务于高风险的联邦医疗保险优势计划(Medicare Advantage)参保人,包括患有心力衰竭、慢性阻塞性肺病(COPD)、糖尿病、高血压及多种慢性疾病的患者,以及近期住院者、频繁使用急诊服务者或初级保健资源获取受限者。

Health plans interested in evaluating the model may contact Tres Teague, Vice President, Health Plans, at

有意评估该模型的医保计划方可联系医保计划部副总裁 Tres Teague,联系方式如下:

[email protected]

[email protected]

. For more information on the company, visit

。有关公司的更多信息,请访问

amchealth.com

amchealth.com

.

。

About AMC Health

关于AMC Health

AMC Health is the continuous care company. Through affiliated clinicians, care managers, clinically governed AI, connected health technology and continuous patient engagement, AMC Health helps healthcare organizations maintain a clinical presence between office visits and hospital stays.

AMC Health 是一家提供连续护理服务的公司。通过 affiliated 临床医生、护理管理人员、经临床治理的人工智能、互联健康技术以及持续的患者参与,AMC Health 帮助医疗机构在门诊就诊和住院之间保持临床层面的持续介入。

For more than two decades, AMC Health has supported patients living with chronic conditions through remote patient monitoring, care management, virtual care, accountable primary care, and clinical research programs.

二十多年来,AMC Health 通过远程患者监测、护理管理、虚拟医疗、责任初级保健和临床研究项目,为患有慢性病的患者提供支持。

AMC Health's CareConsole platform is an FDA-cleared Class II medical device, and the company maintains HITRUST CSF r2 certification.

AMC Health 的 CareConsole 平台是一款获美国食品药品监督管理局(FDA)许可的二类医疗器械,该公司同时保持 HITRUST CSF r2 认证。

SOURCE AMC HEALTH

来源:AMC Health

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