Altruista has strong expertise and experience in providing care management and population health services for government-funded payers and plans. Currently, one in four Medicaid members across 42 states are managed on GuidingCare®. Altruista is fluent in the needs of state-sponsored programs serving the most vulnerable and high-risk populations. Altruista aligns with the values of community-based and mission-driven plans. Our focus is on delivering value in the context of state regulations, while reducing expenses and innovating in partnership with government programs. We serve:
Medicaid Managed Care Organizations (MCO)
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Alliance of Community Health Plans (ACHP) member plans
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Association for Community Affiliated Plans (ACAP) member plans
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Developmental Disabilities (DD)
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Fully Integrated Duals Advantage (FIDA)
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Long-term Services and Supports
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Medicaid Managed Long-term Care (MLTC)
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National MLTSS Association member plans
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SNP Alliance member plans
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State Children’s Health Insurance Program (SCHIP)
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Supplemental Security Income (SSI)
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Temporary Assistance for Needy Families (TANF)
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Waiver
Medicare
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Alliance of Community Health Plans (ACHP) member plans
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Association for Community Affiliated Plans (ACAP) member plans
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Medicare / Medicaid
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Medicare Advantage and Part D
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Medicare Advantage Chronic Care Special Needs Plans (C-SNP)
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Medicare Advantage Dual-eligible Special Needs Plans (D-SNP)
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Medicare Advantage Employer Group Waiver Plans (EGWP)
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Medicare Advantage Fully Integrated Dual Eligible (FIDE)
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Medicare Advantage Fully Integrated Duals Advantage (FIDA)
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Medicare Advantage Part C Only
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Medicare Institutional Special Needs Plan (I-SNP)
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SNP Alliance Member Plans
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Stand-alone Part D
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Stand-alone Part D Employer Group Waiver Plans (EGWP)