Dedicated Support, Tangible Results

We specialize exclusively in long-term care, bringing deep expertise gained since 2015 through our Medicare Special Needs Plans. Our unique combination of clinical excellence and real-time technology drives better outcomes, reduces costs, and enhances resident satisfaction. Best of all? We take all the risk while you gain all the benefits.

The numbers tell the story: 60% of long-term care residents face hospitalization each year, with significant variations in emergency room usage. We saw an opportunity to transform these statistics through better care coordination and expert primary care support. Our focused approach helps reduce unnecessary hospitalizations while improving quality of life for this high needs population.

CMS assigns an annual financial benchmark for participating providers and their Medicare beneficiaries. We convert monthly claims data into clear performance scorecards, working closely with your team to enhance care coordination and improve interventions. When we meet performance benchmarks together, we all share in the savings.

Absolutely. Long-term care facilities can earn shared savings for their attributed beneficiaries by partnering with us. We simply ask that you support our quality protocols, engage in care management, and review monthly performance data.

You'll receive enhanced rates above your current Medicare FFS payments. Simply submit claims as usual—we handle the rest. Plus, you're automatically placed in an Advanced Alternative Payment Model, eliminating MIPS reporting requirements and associated penalties.

We focus on Electronic Clinical Quality Measures (ECQM), including diabetes A1C control, mental health screening with follow-up, and blood pressure management. Our system handles all the reporting—you focus on care delivery.

Three simple things:

1. Review monthly performance reports with us
2. Keep CMS Beneficiary Information Notifications available
3. Allow our technology partner to monitor EHR data for better care coordination

All technology and support services are provided at no cost to you.

Yes. Participants can withdraw for the next performance year with no penalties.

An Accountable Care Organization (ACO) is a group of clinicians, facilities, and potentially other healthcare providers working together focused on managing the cost, quality, and patient satisfaction of a defined population. The ACO Realizing Equity, Access, and Community Health (REACH) Model is focused on the relationship between the primary care provider and Medicare beneficiary to improve the beneficiary’s overall health and experience.