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NDHI<br />

NAT IONAL DIALOGUE FOR<br />

Healthcare Innovation<br />

Altegra Health Addresses<br />

Social Determinants of Health<br />

Organization Overview<br />

• Change Healthcare is committed to driving value<br />

among payers, providers, and patients by using<br />

data analytics to deliver predictive insights to these<br />

stakeholders<br />

• Change Healthcare operates the single largest<br />

financial and administrative healthcare network in<br />

the United States<br />

• Altegra Health, a Change Healthcare company,<br />

provides risk adjustment services, quality performance,<br />

engagement solutions, and advisory services<br />

to healthcare companies<br />

Background<br />

It is well-documented that an individual’s overall<br />

health is correlated to his or her ability to overcome<br />

socio-economic challenges. Altegra Health is committed<br />

to advancing resources that address the social<br />

determinants of health, an underlying force behind cost<br />

and overutilization of avoidable high-cost services.<br />

Product Details<br />

Altegra Health’s Dual Eligible Enrollment service<br />

identifies Medicare Advantage (MA) beneficiaries who<br />

may receive additional benefits from dual enrollment,<br />

including payment of their Part B premiums, by assisting<br />

them as an authorized representative in applying to the<br />

appropriate state Medicaid agency. Similarly, Altegra<br />

Health assists MA beneficiaries who may qualify for<br />

the Medicare Prescription Drug Coverage low-income<br />

subsidy (LIS).<br />

Altegra Health’s COMMUNITY Link product guides<br />

health plan members through an extensive database<br />

of more than 10,000 public and privately-sponsored<br />

community programs for which they may qualify. Altegra<br />

Health proactively reaches out to these beneficiaries<br />

using multi-channel communications to advise them<br />

about the COMMUNITY Link service and its benefits. In<br />

addition, Altegra Health provides advocacy and enrollment<br />

assistance to help beneficiaries access these programs.<br />

COMMUNITY Link program categories include, but<br />

are not limited to:<br />

• Energy & utility assistance<br />

• Home care & repair<br />

• Nutritional assistance<br />

• Rx discounts<br />

• Telephone assistance<br />

• Transportation assistance<br />

An Initiative of the<br />

63 |<br />

Altegra Health to Address Social Determinants of Health

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