Amerigroup is a health insurance provider owned by Anthem, Inc. The company covers more than 7 million seniors, people with disabilities, low-income families, and other state and federally sponsored beneficiaries. Amerigroup also covers federal employees in 26 states, making it the nation’s largest provider of healthcare for programs benefiting the public. It has been a publicly traded corporation since 2001.
Amerigroup was first known as AMERICAID Community Care and was initially aimed at providing treatment for children, mothers, and pregnant women enrolled in state Medicaid programs.
In 2006, Amerigroup entered the Medicare Advantage program, serving low-income people eligible for both Medicare and Medicaid through special needs plans. Amerigroup currently offers healthcare services through three government programs: Medicaid, the Children’s Health Insurance Program (CHIP), and Medicare.
Anthem, then known as WellPoint, acquired Amerigroup for $4.9 billion in July 2012.
The Amerigroup Approach
Amerigroup creates plans that are unique to the states they serve. This approach is based on a strong local presence and community-based knowledge combined with its own deep resources and defined best practices. It draws from the experience of affiliate plans to leverage a centralized infrastructure offering knowledge and cost-efficiency.
Amerigroup was the first managed care organization to access family support services as a cost-effective alternative within TennCare, addressing a huge gap in services for children and families struggling with persistent mental health challenges in the Volunteer State.
Through its mental health and substance use disorder programs, Amerigroup helps members break down the barriers to wellness and chart a working roadmap to recovery. The recovery teams are made up of behavioral health advocates bringing together the connection of mind and body.
The components of Amerigroup’s mental health and SUD programs include:
– Best practices. Physical and behavioral health clinicians work together to coordinate services to meet members’ needs holistically. These programs are managed in-house, building on what has been learned and adapting best practices to meet the needs of members and their communities.
– Round-the-clock support. Amerigroup integrates and coordinates crisis management services in‐house, including 24/7 crisis intervention and emergency services.
– Innovative technologies. Technologies like web‐based telehealth allow members to access qualified behavioral health care services.
– Provider partnerships. Amerigroup works with providers to allow access to tools to engage with members and enhance their behavioral health capabilities. Interactive provider scorecards, with data on key service and quality metrics, are also provided.
Amerigroup, along with BlueCare and United Healthcare, has determined the need for a comprehensive network of providers who offer Medication Assisted Treatment (MAT) for members with opioid use disorder. This network has agreed to provide MAT under guidelines drawn up by the three companies.
MAT involves the use of medications—in combination with counseling and behavioral therapies—to provide a whole-patient approach to the treatment of substance use disorders. Research has shown that, when treating substance-use disorders, a combination of medication and behavioral therapies is more successful for some people than therapy alone. The Food and Drug Administration (FDA) approved several medications for MAT use, including buprenorphine and naltrexone.
Verifying Coverage and Finding the Best, Most Appropriate Treatment
Studying insurance options can be overwhelming, especially if you or someone you know is suffering with addiction. Of course, knowledgeable advisors are available with Humana. They can verify your insurance coverage and find the best treatment for you. Call your insurance provider and ask an informed representative about the details of your individual plan.