Mvp Health Plan Inc

Programs: Exempt purpose achievements - 2016 the organization, mvp health plan, inc. ("mvp"), is a not-for-profit health maintenance organization (hmo) serving upstate new york and vermont communities, including their medicaid managed care, child health plus (chp), health and recovery plan (harp), essential plan, and medicare advantage populations. During the year 2016, mvp had medicaid managed care, chp, harp, and essential plan enrollment of 203,460 in new york state. Mvp medicare advantage enrollment totaled 66,731 during 2016 through its medicare advantage contracts. Mvp also had 2016 commercial (large and small group and individual) hmo enrollment totaling 95,049. While serving the populations who rely on medicaid managed care, chp, harp, and essential plan is central to mvps purpose, mvp also promotes and improves the delivery of health care service in the community and the efficiency and quality of health care services through its efforts to serve commercial membership. During 2016, mvp continued to support its members with features such as online wellness tools, including a confidential health risk assessment tool that individual members can use to assess their overall health and better communicate with their doctors. In addition to the above, mvp participates in quality and satisfaction-focused programs sponsored by the centers for medicaid & medicare services (cms), which administers the cms stars program, the new york state department of health (nysdoh), which administers the quality assurance reporting requirements (qarr) program and marketplace plan reporting requirements for new york, the vermont department of financial regulation (ofr), which administers the marketplace reporting requirements for vermont, and the national committee for quality assurance (ncqa), which administers the voluntary health plan accreditation program. These programs require that health plans collect and monitor information pertaining to the quality of care delivered and member satisfaction experienced by members with the overall goal of improving and maintaining the health and satisfaction of members. Quality and satisfaction are measured by industry standard tools such as the healthcare effectiveness data and information set (hedis) and consumer assessment of health plan survey (cahps). Through the cms stars program, health plans are compared to state and national benchmarks as well as the performance of other health plans to provide a normative understanding of performance and a frame of reference for improvement targets. Based upon the results of these measurements, mvp achieved a 4. 5 star rating for its west hmo and ppo medicare products and a 4. 0 star rating for its east hmo product. These star ratings are out of a total possible score of 5. 0 stars and represent strong performance. Through the qarr program, mvps medicaid managed care products received a 75th and 50th percentile score. These scores represent the 2nd and 3rd highest tiers out of 5 performance tiers. Additionally, mvps vt exchange products and ny marketplace products received 3 and 4 of a possible 5 stars, respectively, through the quality rating system. Overall mvps performance remains credible as compared to the industry, and mvp remains committed to analyzing the quality and satisfaction of care delivered to its members for ongoing improvement opportunities. As a not-for-profit health maintenance organization, mvp has a responsibility to support the communities within its footprint. Recognizing that community needs are multifaceted, mvp has developed an overarching vision - to help create healthy communities. In order to activate this vision mvp is focusing on four key areas: social and economic factors, health behaviors, clinical care and the physical environment. This support can be evidenced through both financial support and employee engagement. In 2016, mvp provided more than $1,000,000 to local not-for-profits in support of events and activities that are focused on creating healthy communities. Working with community based non-for-profit organizations and hospitals, mvp provided financial support for such programs as: new york and vermont: in 2016 mvp partnered with a number of area agencies and tv stations to support the coats for kids project. In both rochester and the capital region, mvp partnered with area tv stations to broaden the exposure of this program resulting in more than 6000 coats being donated. In addition, mvp donated coats to more than 2800 children across new york and vermont. Capital region, ny: a multi-year partnership with albany medical college supporting its medscope program, which creates opportunities for first-year medical students to participate in community health programs in high need neighborhoods in the albany area with the goal of increasing the number of new doctors who choose to be primary care physicians; underwriting two programs for capital roots, a nonprofit organization whose mission is to provide access to fresh food for all. Program support included: healthy stores initiative bringing fresh fruits and vegetables into convenience stores in economically challenged communities in albany, schenectady and troy; and underwriting the produce center at the urban grow center in troy; leading a coalition, including other foundations and companies to expand a weekend backpack program in the schenectady city schools, providing nutritious food for the weekend for more than 800 students, which represents almost 15% of the elementary school population; and in partnership with the albany college of pharmacy and health sciences, supporting the creation of two neighborhood-based student-run pharmacies, college home town pharmacy, which will be housed in schenectady countys only not-for-profit federally qualified health center, hometown health center, and college parkside pharmacy which is located in the south end of albany. These pharmacies will serve as a practice setting for student pharmacists to assess and manage patients with chronic diseases and learn aspects of public health, disease prevention, and physical assessment, and at the same time provide access to pharmacy services. Rochester, ny: support for dress for success helping to underwrite a program that provides mentoring for women who are re-entering the workforce and then provide appropriate and professional clothing for interviews. Conkey cruisers, a program based in an economically depressed area of rochester, assists school aged children in learning about the importance of eating well, health issue prevention and regular exercise. Underwriting foodlinks cooking matters at the store held at various grocery stores throughout rochester, to provide low income adults with the tools to learn how to shop within budget for nutritious foods. Hudson valley, ny: el centro hispano, which provides services to help strengthen hispanic families assisting with outreach, counseling, education, and advocacy programs to help them become self-sufficient. The sharing shelf "backpacks to school" initiative which provides backpacks filled with grade appropriate supplies for children from kindergarten through high school. Vermont: working with the vermont childrens trust foundation, to underwrite an evidenced-based drug prevention program. Volunteerism: mvp supported a wide range of activities through teammvp, a program which engages employees to volunteer during the work week as well as participate in local community events that help to raise funds for nonprofit organizations. Through the volunteer time-off program, more than 500 mvp employees volunteered in the community equating to 1995 hours (or more than 52 weeks of volunteerism) and valued at more than $65,000. These varied activities represent mvps strong commitment to its not-for-profit purpose, but do not reflect an exhaustive list of the contributions that mvp has made and continues to make to the communities and membership population that it serves.