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Customer-proven Solutions

Special Needs Plan Model of Care

The Health Integrated SNP Model of Care is a rapidly deployable, turnkey solution that unlocks the value of care management while meeting all Special Needs Plan CMS requirements as mandated in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).

Meets CMS Requirements

  • Health Risk Assessment
  • Integrated Care
    Plan
  • Interdisciplinary Care Team
  • Evaluation of Care Effectiveness

Through a consultative process, the SNP Model of Care solution can be tailored to unique health plan needs within the greater context of the MIPPA requirements.

Developed in collaboration with leading Medicaid managed care plans and SNP providers, the solution is complementary to a health plan’s own care management strategies and is in lock step with CMS’s intentions to improve coordination and quality of care while reducing health care costs. Plans that implement the Health Integrated SNP Model of Care solution will share with other plans a collective interpretation of the CMS regulations and best practices.

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SNP Model of Care Solution Benefits

  • CMS Compliant
  • Rapid deployment
  • Uniformly delivered
  • Shared interpretation of regulations
  • Self-funding with 3:1 or higher ROI
  • Tailored to plan needs
  • Backed by over a decade of experience

Experience you can trust.

With extensive expertise in population health management, a deep understanding of vulnerable populations, and leading edge data analytics, Health Integrated is uniquely suited to deliver this solution.

Health Integrated can take your current care management activities to the next level to ensure that you comply with the SNP Model of Care requirements of MIPPA while optimizing your plan’s performance.

Care Management Activities Health Integrated’s Capabilities
Health Risk Assessment Maximizes your HRA completion rate through industry-leading outreach services
Member Stratification Stratifies members based on HRA and claims data, and adjusts on an ongoing basis
Care Plan Development Develops fully integrated care plans that span medical, behavioral and social needs
Care Team Integration Coordinates an integrated care team across medical, behavioral health and social services expertise
Provider Communications Generates and tracks provider alerts, communications and interactions
Outcomes Analysis and Reporting Manages and analyzes data to drive member care plans on an ongoing basis and generate outcomes reports to show effectiveness

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Health Integrated is proud to be an ACAP Preferred Vendor.