Become a TotalCare (HMO D-SNP) Provider

Value to providers

D-SNPs can provide significant value to providers by:

• Assigning members to care managers who help manage the complex needs of dual-eligibles more effectively through care coordination. This helps reduce staff administrative burden for providers.
• Providing a coordinated system that reduces the number of avoidable hospital readmissions that negatively impact revenue under traditional Fee-For-Service (FFS) Medicare.
• Working with only one insurance entity (in this case, the Alliance’s TotalCare plan), as opposed to working separately with Medicare and Medi-Cal.
• Addressing social determinants of health such as housing, food insecurity and transportation, improving patients’ well-being and reducing the overall burden of care.

D-SNPs also reduce out-of-pocket costs for dual-eligibles, which improves adherence to treatment plans and increases patient satisfaction. When patients are more engaged, their health is improved and costly interventions are reduced.

We are excited for our provider partners to participate in this significant new line of business!