American Health Plans’ provider-owned Institutional Special Needs Plans (“ISNPs”) can help nursing home owners improve patient care
Who We Are
We’ve owned and operated Medicare Advantage plans since their inception. And our sister companies have been delivering post-acute care for over three decades.
What We Do
Through shared ownership in ISNP Medicare Advantage plans, we help nursing homes control their financial future in a challenging healthcare environment.
Your Opportunity
Sponsoring an ISNP Medicare Advantage Plan in your nursing home can increase patient services, improve health outcomes and generate a reliable, shared revenue stream.
Pioneers in Managed Care
American Health Plans manages Institutional Special Needs Plans (ISNPs) in nursing homes in several states by sharing plan ownership with the facilities. Our roots in managed care run deep. We owned and managed a Medicare Advantage plan with over 100,000 members across multiple product lines. We currently own one of the oldest provider-owned ISNPs in the country and are rapidly developing new partnerships with nursing home owners. Today, you can find our managed care plans in 118 nursing homes, and we are rapidly developing new partnerships with nursing home owners.
Meet Our Leadership Team
Our executives are industry leaders who possess a unique, hands-on knowledge of the business of managed care and post-acute care. Count on us to thoroughly understand the challenges and opportunities you face as a nursing home operator.
Michael Bailey, Chief Executive Officer
Mike has been a leader in managed care and post-acute care organizations for more than 30 years. Highlights of his career:
- CEO of American Health Partners, which operates 29 nursing homes and other post-acute care businesses
- Co-founder and CEO of Windsor Health Group, an early leader among Medicare Advantage plans
- President of national Medicare Advantage operations for Munich Health North America (MHNA)
- Held positions as CFO and president for health plans at Vanderbilt University Medical Center
- Co-founder of several healthcare companies, including Unity Physician Partners, MedSolutions, Inc. and National Imaging Affiliates, Inc.
Robin Bradley, Chief Operating Officer
Robin has 20 years’ experience managing health plans, including working with claims, credentialing and network operations. Highlights of her career:
- Vice President of Administration for Windsor Health Plan, one of the earliest Medicare Advantage plans in the U.S.
- Vice President of Administration for Vanderbilt Health Plans, a provider-owned, Medicaid managed care plan
- Held consultant, management and operational positions in physician practice groups, including MedPartners, Inc. and Theraphysics, Inc.
Henry Watson, Chief Development Officer
Henry leads the development of American Health Plans’ relationships with nursing home owners in existing and new markets. Highlights of his career:
- Vice President at EDG Partners, a healthcare focused private equity firm
- Worked with The Lewin Group, a leading healthcare policy and strategy advisory firm in the Washington D.C. area
- COO for a risk adjustment vendor serving Medicare Advantage plans nationwide
Tom Coble, Chief Strategy Officer
Tom has been a nursing home owner/operator for 25+ years, during which he became a pioneer in developing Medicare ISNPs. Highlights of his career:
- Founded the nation’s first provider-owned ISNP more than 15 years ago
- Current president and CEO of Elmbrook Management Company, which owns and operates seven long term care communities
- Past Chair of the American Health Care Association (AHCA)
- Nationally recognized speaker to the investment community, insurance conferences, national trade associations and provider groups on future payment models, risk management and population health management.
Ralf C. Habermann, MD, Chief Medical Officer
Dr. Haberman has more than 20 years of experience in hospitals, nursing homes and managed care. Highlights of his career:
- President of the Tennessee Association of Long Term Care Physicians
- Chief Medical Officer for Windsor Medicare Advantage Plan
- Clinician at Vanderbilt University Medical Center
- Medical Director for three nursing homes
- Certified hospice and pain management physician
Jason Haney, Vice President Operations
Oversees the management of ISNPs in long-term care facilities and develop new partnerships with nursing home owners who want to participate in health plan ownership.
- Worked as Market Vice President for Optum Complex Care Management, an arm of UnitedHealth Group serving Missouri. There he oversaw 520 skilled nursing facilities and 54 ISNPs in 23 counties
- Worked as Director of Practice Administration and business development for IPC Healthcare, where he managed the post acute physician practice
- Bachelor of Science in English from Washington University and his MBA from the University of Missouri in St. Louis
Curt Stubblefield, Director of Network Services
Curt has 33 years experience in healthcare and has managed health care operations for both small, private companies and large, national corporations.
- Former Director, Network Services, Post Acute Care & Bundled Payment at Medsolutions, Inc., Franklin, TN.
- Developed startup companies for healthcare consulting, medical staff leasing and medical adult day cares
Caleb Hemmer, Sr. Dir. Corporate Development
Hemmer serves on the membership committee of Leadership Healthcare and is a commissioner for the Metropolitan Board of Fair Commissioners for Nashville and Davidson County.
- Formerly senior director of product growth and strategy at eviCore Healthcare Product development manager for MedSolutions Inc.,
- Served in the Tennessee Department of Economic and Community Development and was assistant to former Tennessee Governor Phil Bredesen.
- MBA from Tennessee Tech University, Bachelor of Science in Business Administration from the University of Tennessee
Plans That Benefit Residents and Owners
Medicare Institutional Special Needs Plans or ISNPs enable nursing home operators to increase residents’ access to health and wellness resources while ensuring individuals receive the right healthcare services for their needs. As an ISNP sponsor, you can enjoy these advantages:
- Nurse care managers to help coordinate members’ healthcare at no additional cost to you
- Opportunity to share in savings realized from providing high-quality care
- Ownership in a high growth and scalable health plan
Turn-Key Solutions Make Operations Trouble-free
When you join forces with American Health Plans, you’re making a smart decision. Our parent company has more than three decades’ experience in owning nursing homes, providing post-acute care and operating managed care plans. We can leverage our expertise to bring you:
- Established infrastructure to ensure Medicare compliance
- Comprehensive care management from our partner TruHealth
- End-to-end plan implementation, including management of provider networks and claims
- Member marketing, sales and enrollment support
- Continuous member engagement to ensure satisfaction and retention
Want to know more? Visit our Contact page to get in touch.
And check out Our Health Plans, available in three states.
A Strategy for Challenging Times
Today’s residential nursing facilities are often expected to do more with less. Owners are constantly stretching their resources to serve residents who are sicker and need more hands-on care. In addition, your facility is often at the bottom of the healthcare reimbursement chain.
Let us help you ensure the highest quality of care with an institutional special needs plan (ISNP). This type of Medicare Advantage plan is a natural fit for nursing homes and gives you more control over your future.
Better Patient Care, A Healthier Bottom Line
American Health Plans has broad experience in both managed care and nursing home ownership, so you can depend on us to market and administer your ISNP successfully.
As a partner in a well-managed ISNP, you are in the driver’s seat when it comes to healthcare spending for your members. You know your residents better than anyone. Together, we can leverage that expertise to deliver patient-centered care that’s also cost-effective.
Our collaborative partnership, which includes frequent visits by care managers and mid-level providers, provides members living at your facility with:
- Better treatment plans, medication management and care continuity
- Hands-on care transitions
- Extra services like vision care, dental care and additional physical therapy
- Increased member satisfaction with your facility
By providing these services, you can reduce emergency room visits and hospital admissions or readmissions, thus bolstering your bottom line.
Want to know more? Visit our Contact page to get in touch. And check out the health plans we offer.
At American Health Plans, our aim is twofold: To take great care of our members and to help our nursing home partners protect their organization’s bottom line. With our service partner, TruHealth, we bring in mid-level providers and case managers to work side-by-side with nursing home staff to coordinate care for our members. This model of care helps manage costs, improve wellness and prevent unnecessary hospitalization.
Currently, we offer the following plans in long-term care facilities.
Georgia Health Advantage is a Medicare Advantage (ISNP) plan available to nursing home residents in Georgia.
Kansas Health Advantage is a Medicare Advantage (ISNP) plan available to nursing home residents in Kansas.
American Health Advantage of Missouri is a Medicare Advantage (ISNP) plan available to nursing home residents in Missouri.
American Health Advantage of Mississippi is a Medicare Advantage (ISNP) plan available to nursing home residents in Mississippi.
American Health Advantage of Oklahoma is a Medicare Advantage (ISNP) plan available to nursing home residents in Oklahoma.
American Health Advantage of Tennessee is a Medicare Advantage (ISNP) plan available to nursing home residents in Tennessee.
American Health Advantage of Tennessee is a Medicare Advantage (ISNP) plan available to nursing home residents in Texas.
American Health Advantage of Tennessee is a Medicare Advantage (ISNP) plan available to nursing home residents in Utah.
Ready to advance your career? Let’s make a difference together.
American Health Plans is committed to providing the highest quality healthcare to every individual we serve. We are always seeking employees who will support our mission by providing care and service that exceeds expectations.
We provide a range of career opportunities for business professionals and medical providers, including nurse practitioners and physician assistants employed through our partner TruHealth. Visit our company-wide job listings to find positions near you. Search by job title, location or key words.
Our Benefits at a Glance
- Competitive salaries
- Generous paid time-off program that accrues from hiring date
- Company-paid life insurance
- Affordable medical insurance
- Dental and vision insurance options
- Optional short- and long-term disability plans
- Employee Assistance Plan (EAP)
- Company-funded Employee Stock Ownership Program (ESOP)
- 401K retirement accounts
- Flexible spending accounts (FSAs) and health savings accounts (HSAs)
- CEU reimbursement opportunities and online training programs for advancement
- TeleDoc 24/7/365 access to doctors
- NurseLine to answer medical questions
- Cellphone discounts from AT&T, Sprint, and Verizon
American Health Plans is an affiliate of American Health Partners, Inc. and does not discriminate in any aspect of employment, (hiring, training, compensation, benefits, transfers, promotions, discipline and termination) because of race, color, religion, sex, age, national origin, or other classification protected by law. Nor do we discriminate against anyone because they are a disabled veteran or because of physical or mental disability in regard to any position for which the employee or applicant for employment is qualified in accordance with the law.
Get in touch! We are ready to answer all your questions.
Address:
American Health Plans
201 Jordan Road, Suite 200
Franklin, TN 37067