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With Ambetter from Arkansas Health & Wellness it's easy to take charge of your health. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7.
Ambetter strives to provide access to a quality healthcare network with the goals of (1) keeping our premiums affordable and lowering costs for members and (2) focusing on making providers available who have a history of better healthcare outcomes. We want you to be and stay healthy!
To accomplish these goals, Ambetter contracts with a full range of practitioners and providers to provide all of the services that the Affordable Care Act describes as Essential Health Benefits. These include preventive care, hospitalization coverage, emergency services, and more. We make sure providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes.
Arkansas regulations require us to contract with any willing provider who accepts our contract terms, meets our credentialing criteria, and agrees to our reimbursement terms. Beyond that regulation, we regularly review the provider network and makes decisions about which providers to include based on many factors. These include:
- Ensuring the availability of certain practitioners or hospitals in your area.
- The ability of providers to meet our credentialing criteria.
- Cost and efficient health care resource use data, to ensure your healthcare remains affordable.
- Comparison of quality metrics that examine performance based on measures such as proportion of patients receiving evidence-based care for chronic conditions, diabetes and preventive care, well child checkups and immunizations, and others.