Profile: Apollo Medical Holdings Inc (AMEH.PK)
28 Apr 2017
Apollo Medical Holdings, Inc., incorporated on June 18, 2008, is a patient-centered, physician-centric integrated population health management company working to provide coordinated, outcomes-based medical care. The Company operates in healthcare delivery segment. Its operations include Hospitalists, which include its contracted physicians focusing on the delivery of medical care to hospitalized patients; an accountable care organization (ACO), which focuses on providing care to Medicare fee-for-service patients; an independent practice association (IPA), which contracts with physicians and provides care to Medicare, Medicaid, commercial and dual-eligible patients on a risk- and value-based fee basis; approximately three clinics, which it owns or operates, and which provide specialty care in the greater Los Angeles area; Palliative care, home health and hospice services, which include its at-home and end-of-life services, and a cloud-based population health management information technology (IT) platform, which includes digital care plans, a case management module, connectivity with multiple healthcare tracking devices and also integrates clinical data.
The Company serves Medicare, Medicaid, health maintenance organization (HMO) and uninsured patients primarily in California. It provides services to patients covered by private or public insurance, with a small portion of its revenue from non-insured patients. It provides care coordination services to each constituent of the healthcare delivery system, including patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups and health plans. Its subsidiaries include Apollo Medical Management, Inc. (AMM), Pulmonary Critical Care Management, Inc. (PCCM), Verdugo Medical Management, Inc. (VMM), ApolloMed ACO, Apollo Palliative Care Services, LLC (ApolloMed Palliative), and Apollo Care Connect. AMM, PCCM and VMM each operates as a physician practice management company and is in the business of providing management services to physician practice corporations under long-term management service agreements, pursuant to which AMM, PCCM or VMM, as applicable, manages certain non-medical services for the physician group and has authority over all non-medical decision making related to ongoing business operations.
Through the Company's affiliated physician group, AMH, it provides admission, daily rounding and discharge of patients at acute care hospitals and long-term acute hospitals for health plans, hospitals and IPAs; evaluates patients in the emergency room to determine if they may be safely discharged to home, a skilled nursing facility or other facility; provides physician advisor consultative services for hospitals, which entails meeting daily with hospital case managers to review the charts, lab studies and imaging studies of hospitalized patients to determine if they meet criteria for continued stay in the hospital, to determine observation versus inpatient status and to evaluate proper coding; provides intensivist/intensive care unit (ICU) services for hospitals, and provides out-of-network to in-network transfers of patients for health plans and IPAs.
The Company's IPA is a network of independent primary care physicians and specialists collectively caring for HMO patients under either a capitated payment or FFS arrangement. Under the capitated model, an HMO pays the Company's IPA, a per member per month (PMPM) rate, or a capitation payment, and then assigns its IPAs the responsibility for providing the physician services required by the applicable patients. Its IPA enters into contracts with HMOs, either directly or through a risk-shifting arrangement with Multiple System Operators (MSOs), to provide physician services to enrollees of the HMOs. The Company, through its IPA, provides various services, including physician recruiting; physician contracting; medical management, including utilization management and quality assurance; member services, including annual wellness evaluations; education of physicians on proper coding, and data collection and analysis.
Through the Company's ACO, it provides various services for its physicians and patients, including population health management, a population health management and analytics platform to analyze monthly claims data from content management system (CMS) and data collected from each physician's practice; care coordination in the inpatient and outpatient settings using case managers; high-risk management of patients with multiple chronic conditions; educating its physicians; services for its patients, and promotes use of evidence-based medicine by its physicians.
The Company's outpatient clinics provide specialty services, such as cardiology and pulmonary services. It also owns an imaging center complete with magnetic resonance imaging (MRI), compound tomography (CT), cardiac echo, ultrasound, and nuclear and exercise stress-test equipment. Its clinics focus on the delivery of ambulatory treatment and ancillary services, with an emphasis on preventive care and managing chronic conditions. Its clinics also serve as post-discharge centers for patients who have just left the hospital.
Palliative Care, Home Health and Hospice Service Operations
The Company's palliative care, home health and hospice operations provide hospice, palliative care and home health services for patients using an interdisciplinary team composed of physicians, nurses and other healthcare workers. For hospice services, depending on the needs of the specific patient in each case, its service team may include a physician, nurse, home health aide, medical social worker, chaplain, dietary counselor and bereavement coordinator. Its hospice and palliative care services are provided in the patient's home, assisted living or nursing home or in a hospital. Its home health services are provided directly in each patient's home and may include skilled nursing and therapy services, as well as specialty programs, such as disease management education, nutrition and help with daily living activities. Its hospice and home health services are offered only in Southern California, with an average daily census of over 60 hospice patients and approximately 120 home health patients.
The Company competes with EmCare, Team Health, Sound Physicians, Heritage Provider Network, DaVita HealthCare Partners, Vitas, Kindred, Haven and Lakeview.
Apollo Medical Holdings Inc
450 N Brand Blvd Ste 600
GLENDALE CA 91203-2349