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Business and Product Insights

Product Portfolio

ACO REACH Model

Medicare Advantage & SNP Solutions

Belong Health Key Value Propositions

Belong Health's core value proposition is its unique risk-sharing partnership model, offering a comprehensive, built-for-purpose operating platform and expertise to local health plans. This enables them to effectively compete in the MA/SNP market, enhance care for complex populations, and achieve sustainable growth without bearing all the upfront burden.

Risk-Sharing Partnership
Comprehensive Operating Platform
Medicare Advantage/SNP Expertise
Technology-Driven Care

Belong Health Brand Positioning

Belong Health positions itself as a risk-sharing strategic partner for regional health plans and hospital systems, empowering them to competitively launch and grow Medicare Advantage and SNP offerings through a comprehensive, tech-driven operating platform and deep expertise.

Top Competitors

1

Lumeris

2

Versant Health (now part of MetLife)

3

Optum

Customer Sentiments

Customer sentiment appears positive, as Belong Health directly addresses key pain points of regional health plans, such as competing with national insurers, navigating complex regulations, and managing risk. Their co-investment model aligns incentives, fostering trust and a shared commitment to success.

Actionable Insights

Highlight case studies and success metrics demonstrating how the 50/50 risk-sharing model translates into financial gains and growth for partners.

Products and Features

ACO REACH Model - Product Description

The ACO REACH Model (Accountable Care Organization Realizing Equity, Access, and Community Health) is a CMS (Centers for Medicare & Medicaid Services) initiative designed to improve healthcare quality and equity for Medicare beneficiaries, particularly those in underserved communities. It builds upon previous ACO models by focusing on health equity, beneficiary engagement, and provider collaboration to deliver high-quality, coordinated care. Key features include a strong emphasis on health equity, with requirements for participants to develop health equity plans and collect data on social determinants of health. The model encourages risk-sharing arrangements, promoting accountability for patient outcomes and cost efficiency. It aims to empower healthcare providers to better manage the health of their patient populations, reducing avoidable hospitalizations and emergency room visits, and ultimately lowering healthcare costs while improving health outcomes.

Pros

  • The ACO REACH Model promotes health equity by requiring participants to address social determinants of health and serve underserved communities
  • It encourages greater collaboration and coordination among healthcare providers, leading to more holistic and effective patient care
  • The model offers opportunities for providers to share in cost savings, incentivizing efficient and high-quality care delivery.

Cons

  • Implementing the ACO REACH Model requires significant upfront investment in data infrastructure and care coordination capabilities for participating organizations
  • The model's emphasis on risk-sharing can be daunting for smaller or less experienced healthcare providers, potentially deterring participation
  • Measuring and demonstrating health equity improvements can be complex and may require robust data collection and analytical capabilities.

Alternatives

  • Alternative models include traditional fee-for-service payment systems, which pay providers for each service rendered without a strong focus on outcomes or coordination
  • Other value-based care models like the Medicare Shared Savings Program (MSSP) offer a different approach to incentivizing ACOs
  • Commercial insurance plans often have their own variations of bundled payments or capitated arrangements that serve as alternatives to government-sponsored models.

Company Updates

Latest Events at Belong Health

Belong Health | Home

Fully supportive healthcare, now available to everyone. Dedicated, comprehensive care for the Medicare + Medicaid-eligible community.

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Belong Health | LinkedIn

Jan 15, 2022 ... http://www.belong-health.com. External link for Belong Health. Industry: Hospitals and Health Care. Company size ... View all updates, news, and ...

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University of Florida: Home

A top five public land-grant research university, the University of Florida creates a collaborative environment and accelerates future solutions.

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Home | Trinity Health Headquarters

News and Stories. Mike Slubowski recognized as one of Modern Healthcare's 100 Most Influential People. Trinity Health President and CEO Mike Slubowski was ...

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