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This excerpt taken from the AGP 10-K filed Feb 22, 2010. Products
We offer a range of healthcare products through publicly
sponsored programs within a care model that integrates physical
and behavioral health. These products are also community-based
and seek to address the social and economic issues faced by the
populations we serve. The average premiums for our products vary
significantly due to differences in the benefits offered and
underlying medical conditions of the populations covered.
The following table sets forth the approximate number of our
members who receive benefits under our products as of
December 31, 2009, 2008 and 2007. Because we receive two
premiums for members that are in both the Medicare Advantage and
Medicaid products, these members have been counted in each
product.
These excerpts taken from the AGP 10-K filed Feb 24, 2009. Products
We offer a range of healthcare products through publicly
sponsored programs within a care model that integrates physical
and behavioral health. These products are also community-based
and seek to address the social and economic issues faced by the
populations we serve. The average premiums for our products vary
significantly due to differences in the benefits offered and
underlying medical conditions of the populations covered.
The following table sets forth the approximate number of our
members who receive benefits under our products as of
December 31, 2008, 2007 and 2006. Because we receive two
premiums for members that are in both the Medicare Advantage and
ABD products, these members have been counted in each product.
Products We offer a range of healthcare products through publicly sponsored programs within a care model that integrates physical and behavioral health. These products are also community-based and seek to address the social and economic issues faced by the populations we serve. The average premiums for our products vary significantly due to differences in the benefits offered and underlying medical conditions of the populations covered. The following table sets forth the approximate number of our members who receive benefits under our products as of December 31, 2008, 2007 and 2006. Because we receive two premiums for members that are in both the Medicare Advantage and ABD products, these members have been counted in each product.
These excerpts taken from the AGP 10-K filed Feb 22, 2008. Products
We offer a range of healthcare products through publicly
sponsored programs within a care model that integrates physical
and behavioral health. These products are also community-based
and seek to address the social and economic issues faced by the
populations we serve. Additionally, we seek to establish
strategic relationships with prestigious medical centers,
children’s hospitals and federally qualified health centers
to assist in implementing our products and medical management
programs within the communities we serve. The average premiums
for our products vary significantly due to differences in the
benefits offered and underlying medical conditions of the
populations covered.
The following table sets forth the approximate number of our
members who receive benefits under our products for the periods
presented. Dual eligible members are counted in both the
Medicare Advantage and Medicaid products when we receive two
premiums for those members. Accordingly, membership counts
represent an occurrence of payment under our contracts with our
government partners.
As of December 31, 2007, 87% of our 1,711,000 members were
enrolled in TANF, SCHIP and FamilyCare programs. The remaining
13% were enrolled in ABD and Medicare Advantage programs.
Approximately 11% of our members receive benefits through ASO
contracts.
Products We offer a range of healthcare products through publicly sponsored programs within a care model that integrates physical and behavioral health. These products are also community-based and seek to address the social and economic issues faced by the populations we serve. Additionally, we seek to establish strategic relationships with prestigious medical centers, children’s hospitals and federally qualified health centers to assist in implementing our products and medical management programs within the communities we serve. The average premiums for our products vary significantly due to differences in the benefits offered and underlying medical conditions of the populations covered. The following table sets forth the approximate number of our members who receive benefits under our products for the periods presented. Dual eligible members are counted in both the Medicare Advantage and Medicaid products when we receive two premiums for those members. Accordingly, membership counts represent an occurrence of payment under our contracts with our government partners.
As of December 31, 2007, 87% of our 1,711,000 members were enrolled in TANF, SCHIP and FamilyCare programs. The remaining 13% were enrolled in ABD and Medicare Advantage programs. Approximately 11% of our members receive benefits through ASO contracts. This excerpt taken from the AGP 10-K filed Feb 27, 2007. Products
We have developed several products through which we offer a
range of healthcare services within a care model that integrates
physical and behavioral health. These products are also
community-based and seek to address the social and economic
issues faced by the populations we serve. Additionally, we seek
to establish strategic relationships with prestigious medical
centers, children’s hospitals and federally qualified
health centers to assist in implementing our products and
medical management programs within the communities we serve. Our
health plans cover various services that vary by state and may
include:
Our products, which we may offer under different names in
different markets, focus on specific populations within the
Medicaid, SSI, FamilyCare, SCHIP and SNP programs. The average
premiums for our products vary significantly due to differences
in the benefits offered and underlying medical conditions in the
populations covered.
The following table sets forth the approximate number of our
members in each of our products for the periods presented. SNP
members are counted in both the AMERIVANTAGE and AMERIPLUS
products when we receive two premiums for those members.
Accordingly, membership counts represent an occurrence of
payment under our contracts with our government partners.
AMERICAID, our principal product, is our family-focused Medicaid
managed healthcare product designed for the TANF population that
consists primarily of low-income children and their mothers. We
currently offer our AMERICAID product in all markets we serve.
AMERIKIDS is our managed healthcare product for uninsured
children not eligible for Medicaid. This product is designed for
children in the SCHIP initiative. We began offering AMERIKIDS in
1999 and currently offer it in all of the states we serve,
though not in all markets within each state.
AMERIPLUS is our managed healthcare product for SSI recipients.
This population consists of the low-income aged, blind and
disabled individuals. We began offering this product in 1998 and
currently offer it in Florida, New Jersey, New York, Maryland,
Houston, Texas and Virginia. Beginning in February 2007, we also
offer the AMERIPLUS product in Ohio, and San Antonio, Texas
and Austin, Texas. We expect our AMERIPLUS membership to grow as
more states seek mandatory managed care solutions to address the
needs of aged and disabled populations. Included in our
AMERIPLUS membership are approximately 1,400 members added
through a Florida program called Summit Care. The Summit Care
(Long-Term Care Diversion) program helps seniors live safely in
their homes or assisted living facilities as an alternative to
nursing home care. Also included are approximately 100 members
in CarePlus Connections, which is our managed long-term care
product offered in New York City through our New York
subsidiary, CarePlus.
AMERIFAM is our FamilyCare managed healthcare product designed
for uninsured segments of the population other than SCHIP
eligibles. AMERIFAM’s current focus is on the families of
our SCHIP and Medicaid children. We offer this product in the
District of Columbia, New Jersey, and New York where the program
covers parents of SCHIP and Medicaid children.
AMERIVANTAGE is our SNP managed care product for dual eligibles.
AMERIVANTAGE is available in Houston, Texas effective
January 1, 2006, and Baltimore, Maryland effective
January 1, 2007. AMERIPLUS members in these markets may now
have their Medicare and Part D drug benefits covered in
addition to their Medicaid benefits through AMERIPLUS. We are
currently considering SNP applications for additional markets,
to be submitted to CMS in 2007, in order to qualify for the
January 1, 2008 effective date.
As of December 31, 2006, 92% of our 1,316,000 members were
enrolled in TANF, SCHIP and FamilyCare programs. The remaining
8% were enrolled in SSI and SNP programs. For approximately
14,000 of our SSI enrollees, we provided only limited
administrative services but did not provide health benefits.
Additionally, certain benefits to SNP enrollees are provided
solely through administrative services arrangements.
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