PerformCare Company Profile

Background

Overview

PerformCare, originally known as the Community Behavioral HealthCare Network of Pennsylvania (CBHNP), was established in 1994 by a consortium of leading behavioral health providers from the Pennsylvania Community Providers Association (PCPA). In 2008, CBHNP became a member of the AmeriHealth Caritas Family of Companies and began operating under the name PerformCare. As part of AmeriHealth Caritas, PerformCare is integrated into the largest family of Medicaid managed care organizations in the United States.

Mission and Vision

PerformCare's mission is to help people get care, stay well, and build healthy communities. The organization is dedicated to providing high-quality, reliable, and cost-effective behavioral health management services to its members.

Primary Area of Focus and Industry Significance

Specializing in behavioral health managed care, PerformCare offers comprehensive services to both public and private sectors. The organization has been instrumental in coordinating care for individuals with behavioral health needs, serving over one million members across multiple states. Its focus on early intervention, long-term prevention, and improved outcomes has established PerformCare as a leader in the behavioral health industry.

Key Strategic Focus

Core Objectives

PerformCare aims to improve the quality of life for its members by promoting recovery and resiliency. The organization emphasizes collaboration across its lines of services to deliver comprehensive care.

Specific Areas of Specialization

PerformCare specializes in managing behavioral health services, including mental health, substance use treatment, and services for individuals with intellectual and developmental disabilities. The organization also focuses on integrating physical health and behavioral health to enhance overall member well-being.

Key Technologies Utilized

PerformCare employs advanced technology platforms to manage provider networks and clinical care. The organization utilizes integrated behavioral health Management Information System (MIS) software, which includes modules for membership, clinical care, provider relationships, and claims processing. This integrated approach ensures efficient and effective service delivery.

Primary Markets and Conditions Targeted

PerformCare primarily serves Medicaid beneficiaries, focusing on individuals with behavioral health needs, including mental health disorders, substance use issues, and intellectual and developmental disabilities. The organization operates in multiple states, providing services tailored to the specific needs of each community.

Financials and Funding

Funding History

As a member of the AmeriHealth Caritas Family of Companies, PerformCare benefits from the financial stability and resources of its parent organization. Specific details regarding PerformCare's independent funding history are not publicly disclosed.

Recent Funding Rounds

Information about recent funding rounds for PerformCare is not publicly available.

Notable Investors

PerformCare is part of the AmeriHealth Caritas Family of Companies, which is majority-owned by Independence Blue Cross. This partnership provides PerformCare with access to a broad network of resources and expertise in managed care.

Intended Utilization of Capital

While specific details on the utilization of capital are not publicly disclosed, PerformCare focuses on enhancing its service delivery, expanding its provider networks, and integrating innovative technologies to improve care coordination and outcomes for its members.

Pipeline Development

As a managed care organization, PerformCare does not develop pharmaceutical or medical device pipelines. Instead, the organization focuses on expanding and enhancing its network of behavioral health providers and services to meet the evolving needs of its members.

Technological Platform and Innovation

Proprietary Technologies

PerformCare utilizes integrated behavioral health Management Information System (MIS) software, which includes modules for membership, clinical care, provider relationships, and claims processing. This integrated approach ensures efficient and effective service delivery.

Significant Scientific Methods

PerformCare employs evidence-based best practices in behavioral health management to optimize clinical outcomes and integrate services. The organization emphasizes early intervention, long-term prevention, and improved outcomes in its care delivery.

AI-Driven Capabilities

Specific details regarding AI-driven capabilities within PerformCare's operations are not publicly disclosed.

Leadership Team

Specific information about PerformCare's leadership team, including names, positions, and professional backgrounds, is not publicly available.

Competitor Profile

Market Insights and Dynamics

The behavioral health managed care industry is characterized by a growing demand for integrated care solutions that address both physical and behavioral health needs. Organizations like PerformCare are well-positioned to meet this demand through comprehensive service offerings and established provider networks.

Competitor Analysis

PerformCare operates in a competitive landscape with several key players in the behavioral health managed care sector. While specific competitors are not identified in the available information, PerformCare's focus on quality care, provider collaboration, and technological integration differentiates it in the market.

Strategic Collaborations and Partnerships

PerformCare's partnership with AmeriHealth Caritas enhances its capacity to deliver comprehensive care solutions and access a broader network of resources. Additionally, PerformCare collaborates with state and local government entities to provide program-specific services, including behavioral and physical health integration, care coordination, and outcomes measurement.

Operational Insights

PerformCare's integration with AmeriHealth Caritas provides a strategic advantage in terms of resource access and operational support. The organization's commitment to quality improvement and provider collaboration strengthens its market position and service delivery capabilities.

Strategic Opportunities and Future Directions

PerformCare is well-positioned to expand its services by leveraging its established provider networks and technological infrastructure. Opportunities for growth include enhancing care coordination, integrating additional services, and exploring new markets to meet the evolving needs of its members.