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)

  • Alliance of Community Health Plans (ACHP) member plans

  • Association for Community Affiliated Plans (ACAP) member plans

  • Developmental Disabilities (DD)

  • Fully Integrated Duals Advantage (FIDA)

  • Long-term Services and Supports

  • Medicaid Managed Long-term Care (MLTC)

  • National MLTSS Association member plans

  • SNP Alliance member plans

  • State Children’s Health Insurance Program (SCHIP)

  • Supplemental Security Income (SSI)

  • Temporary Assistance for Needy Families (TANF)

  • Waiver

Medicare

  • Alliance of Community Health Plans (ACHP) member plans

  • Association for Community Affiliated Plans (ACAP) member plans

  • Medicare / Medicaid

  • Medicare Advantage and Part D 

  • Medicare Advantage Chronic Care Special Needs Plans (C-SNP) 

  • Medicare Advantage Dual-eligible Special Needs Plans (D-SNP) 

  • Medicare Advantage Employer Group Waiver Plans (EGWP)

  • Medicare Advantage Fully Integrated Dual Eligible (FIDE)

  • Medicare Advantage Fully Integrated Duals Advantage (FIDA)

  • Medicare Advantage Part C Only 

  • Medicare Institutional Special Needs Plan (I-SNP)

  • SNP Alliance Member Plans

  • Stand-alone Part D 

  • Stand-alone Part D Employer Group Waiver Plans (EGWP)