Modivcare for Medicare Advantage & SNP Plans

Enhancing the supplemental benefits that matter to your members

Enabling access to care is at the heart of what we do

Our suite of supportive care services provide a one-stop-shop for the supplemental benefits your members are looking for, enhanced by a data-driven engagement layer to capture member risk, keep members engaged in their health and seamlessly navigate to appropriate interventions, including those delivered through Modivcare. These services are core differentiators as Medicare Advantage members make plan selections and offer even greater value for dually eligible and special needs populations. Since 2018, SNP enrollment has doubled from 2.58 million to 5.74 million.¹

¹KFF analysis of CMS Medicare Advantage Enrollment Files, 2010-2023

As an established partner to Medicare Advantage plans, we deliver on the metrics that matter to improve member engagement and health outcomes. Unique customer programs delivered:

51%

Admission reduction

$181

PMPM cost reduction in duals population

40%

Increase in gap closure rates (vs. control)

36%

Identified an issue and referred to support

Tech-enabled, people supported

Our multi-modal approach flexes to match member need and preference, ranging from self-service technology when it’s appropriate to 100% human interaction when it’s necessary. We’re built for scale and ready to deliver a white glove experience to optimize member satisfaction.

Transportation

We provide transportation to and from healthcare appointments for millions of members across the US, leveraging the latest technologies to match members to the most effective mode of transportation to meet their needs cost effectively. We provide a seamless experience for every stakeholders, building and maintaining relationships with members, their caregivers, transportation providers, healthcare providers and you. Transportation is critical to providing access to care, closing care gaps and effectively managing total cost of member care.

In-Home & Personal Care

Our in-home personal care team brings healthcare to the homes of your participants, allowing members to age in place for longer, with the dignity they deserve. The care team builds one on one relationships with your members, working to understand and address the healthcare barriers members face each day. Our team members help participants with activities of daily living, including meal preparation, hygiene and household chores.

Virtual & Remote Care Management

Digital and virtual care platforms complement existing care teams, providing PERS, medication management, vitals monitoring, benefit engagement and gap closure solutions for members. With industry leading response times and member satisfaction, our solutions meet the needs and priorities of members, their care teams, and case managers, engaging members on their terms to avoid unscheduled care.

Health Risk and SDOH Survey Capture

Omnichannel health risk surveys capture self-reported member risk, allow data movement into clinical workflows and drive personalized member education and care gap navigation.