Keystone Mercy Health Plan thinks the key to good health is proper medical care. The firm provides health care benefits to more than 300,000 Medicaid recipients in southeastern Pennsylvania. Operating as a health maintenance organization (HMO), the company manages care for its members through a network of primary care physicians, specialists, hospitals, and pharmacies. It provides benefits including dental, vision, and prescription coverage, pregnancy programs, and assistance with transportation needs. Keystone Mercy Health Plan is controlled by majority owner Independence Blue Cross (IBC) and minority shareholder Blue Cross Blue Shield of Michigan (BCBSM).
Keystone Mercy Health Plan is an administrator of Pennsylvania's state Medicaid program, which is called Medical Assistance, in five counties: Bucks, Chester, Delaware, Montgomery, and Philadelphia. The HMO firm contracts with a network of hospitals, doctors, and other providers in the region, including specialists for services such as ENT (ear, nose, and throat) care. It also conducts public health programs in areas such as diabetes education and management.
The Keystone Mercy Health Plan is part of the state's HealthChoices Physical-Health Medicaid Managed Care Program. The program is working to reduce expenses and increase quality in the state's public health system.
Keystone Mercy Health Plan is part of the AmeriHealth Mercy Family of Companies, which provides Medicaid, pharmacy, and behavioral health benefit services in about a dozen states. The group was previously a 50/50 joint venture between IBC and Mercy Health System of Southeastern Pennsypvania. In late 2011, IBC increased its stake in the AmeriHealth Mercy group when it teamed up with BCBSM to purchase the former Mercy Health System stake.
The company was founded in 1982 by the Sisters of Mercy. – less