Communitycare Government Programs

Communitycare is a health maintenance organization dedicated to medicare advantage and with the goal of improving the health of its members. In 2022, the company had enrolled 31,001 members and had an average weekly number of customer service calls of 1,823 to assist and coordinate members' needs. The company paid 914,430 medical claims which totaled over $316 million in claims on behalf of the members. Our medicare advantage prescription drug program (mapd) has received the highest customer satisfaction rating for medicare advantage plans in the state. Communitycare participates in the stars program where we track the types of services our members receive and identify areas that we can do outreach to members to ensure they are receiving the care they need. Some of these Programs include the following: 1) live well is a program to engage members with uplifting, relatable content on physical and mental well-being to improve the members' perception of their physical and mental health. 2) healthy rewards is a program where medicare members can earn rewards for taking care of their health. Communitycare members earn these rewards for completing health activities such as breast cancer screening, annual wellness visits, colon cancer screening, and diabetes screenings that are recommended for the member. 3) Communitycare also performs home assessments, provides education at its senior center, and operates a medication therapy management program.