MVP HEALTH PLAN INC

THE ORGANIZATION, MVP HEALTH PLAN, INC. ("MVP"), IS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) SERVING 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 2023, MVP HAD MEDICAID MANAGED CARE, CHP, HARP, AND ESSENTIAL PLAN ENROLLMENT OF 253,074 IN NEW YORK STATE. MVP MEDICARE ADVANTAGE ENROLLMENT TOTALED 61,108 DURING 2023. MVP ALSO HAD COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALING 77,569 IN 2023. 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 (DFR), 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). THE 2023 CMS STARS PROGRAM COMPARED HEALTH PLANS TO EACH OTHER AND TO STATE AND NATIONAL BENCHMARKS 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 RATING OF 5 STARS FOR ITS HMO MEDICARE PRODUCT AND ITS D-SNP PRODUCT AND 5 STARS FOR ITS PPO MEDICARE PRODUCTS. THESE STAR RATINGS ARE OUT OF A TOTAL POSSIBLE SCORE OF 5 STARS AND REPRESENT STRONG PERFORMANCE. OVERALL MVP'S PERFORMANCE REMAINS CREDIBLE AS COMPARED TO THE INDUSTRY AND MVP REMAINS COMMITTED TO ONGOING REVIEW OF THE QUALITY OF CARE DELIVERED TO ITS MEMBERS AND SATISFACTION OF ITS MEMBERS FOR NEW IMPROVEMENT OPPORTUNITIES. AS A NOT-FOR-PROFIT HMO, MVP HAS A RESPONSIBILITY TO SUPPORT THE COMMUNITIES WITHIN ITS SERVICE AREA. RECOGNIZING THAT COMMUNITY NEEDS ARE MULTIFACETED, MVP HAS AN OVERARCHING VISION THAT FLOWS THROUGHOUT ALL THAT MVP DOES TO HELP CREATE HEALTHY COMMUNITIES. TO SUPPORT THIS VISION, MVP IS FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH AND IN 2023 MVP DIRECTED MORE THAN $1,500,000 IN FUNDING TOWARD SUCH AREAS AS: ACCESS TO AND QUALITY OF HEALTH CARE; SOCIAL SUPPORT INCLUDING EMPLOYMENT, FOOD SECURITY, HOUSING SUPPORT AND CHILDCARE; AND AFTER-SCHOOL PROGRAMMING AND LITERACY. THIS FINANCIAL SUPPORT WAS COMPLEMENTED BY MVP'S EMPLOYEE ENGAGEMENT VOLUNTEERING IN THE COMMUNITY THROUGH VIRTUAL AND ONSITE COMMUNITY SERVICE ACTIVITIES. IN 2023, 95% OF MVP'S GRANTS WERE FOCUSED ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH. WORKING WITH NOT-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: COMMUNITY: - FUNDED NINE STATE-OF-THE-ART OUTDOOR FITNESS COURTS IN PARTNERSHIP WITH THE NATIONAL FITNESS CAMPAIGN THROUGHOUT THE CAPITAL REGION, PROVIDING EQUITABLE ACCESS TO FREE, HIGH-QUALITY WORKOUTS USING STATE-OF-THE-ART EQUIPMENT. FITNESS COURT RECIPIENTS INCLUDED SUNY SCHENECTADY, ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES, ALBANY COUNTY, CITY OF ALBANY, CITY OF SCHENECTADY AND THE CITY OF TROY. MVP PROMOTED THE PARTNERSHIP THROUGH EXTENSIVE MEDIA OUTREACH TO THE TARGET REGIONS. - PARTNERED WITH THE CITY OF AMSTERDAM, ST. MARY'S HEALTHCARE, UNITED WAY OF THE GREATER CAPITAL REGION, AND CDTA TO PROVIDE 1,000 NEW WINTER COATS, FOR CHILDREN IN NEED IN THE CITY OF AMSTERDAM THROUGH OPERATION BUNDLE UP. - PARTNERED WITH ROCHESTER SALVATION ARMY, GREATER ROCHESTER HEALTH FOUNDATION TO PROVIDE 1,000 COATS TO DISTRIBUTE TO FAMILIES IN NEED ACROSS ROCHESTER. - MANY EMPLOYEES PARTICIPATED IN THE CAPITAL REGION BLOOD CHALLENGE DURING JANUARY'S NATIONAL BLOOD DONOR MONTH, TO INCREASE THE NATION'S BLOOD SUPPLY AND PROMOTE PUBLIC HEALTH. MVP EMPLOYEES CONTRIBUTED TO THE COLLECTION OF NEARLY 50 UNITS OF BLOOD, WHICH WENT TO SAVE MORE THAN 150 LIVES. - PURCHASED MORE THAN 4,000 COATS FOR CHILDREN IN NEED THROUGH THE PROJECT BUNDLE UP COAT PROGRAM. - CO-HOSTED AN ANNUAL THANKSGIVING BASKET GIFTING TO PROVIDE MORE THAN 2,500 FAMILIES IN THE ALBANY AREA WITH THANKSGIVING DINNER, FURTHER PROMOTING HEALTHY LIVING THROUGH FOOD. - DONATED GIFTS TO THE BLACK FRIDAY PROJECT TO HELP FAMILIES IN NEED PURCHASE DISCOUNTED GIFTS FOR CHILDREN DURING THE HOLIDAYS. CORPORATE PRIORITIES: - THE CORNERSTONE OF MVP COMMUNITY SERVICE IS THE SERVICE TIME OFF (STO) PROGRAM. STO GIVES ALL MVP EMPLOYEES THE OPPORTUNITY TO MAKE A MEANINGFUL IMPACT IN OUR COMMUNITIES WHERE EVERY FULL TIME EMPLOYEE RECEIVES 7.5 HOURS OF PAID STO PER CALENDAR YEAR. IN 2023, MVP EMPLOYEES DEDICATED 5,700 SERVICE HOURS TO MORE THAN 200 NONPROFIT ORGANIZATIONS FOR AN EQUIVALENT OF $262,265 OR 143 WEEKS OF WORK. - CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AWARDED MVP HEALTH CARE'S DUAL SPECIAL NEEDS PLAN (D-SNP) 5 OUT OF 5 STARS RANKING IN NEW YORK STATE. MVP'S D-SNP WAS GIVEN THIS DESIGNATION BY CMS BASED ON FACTORS SUCH AS CUSTOMER SERVICE, QUALITY OF CARE, ACCESS TO HEALTH CARE SERVICES, DATA FROM IN-NETWORK DOCTORS AND HOSPITALS, AND MORE. - CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AWARDED MVP HEALTH CARE'S MEDICARE ADVANTAGE HMO-POS INSURANCE PLANS 5 OUT OF 5 STARS DESIGNATION. GENERAL HEALTH CARE SUPPORT AND AWARENESS: - PARTNERING WITH GALILEO TO PROVIDE 24/7 VIRTUAL CARE FOR ALL MVP MEMBERS, INCLUDING PRIMARY CARE, CHRONIC DISEASE MANAGEMENT, AND MULTISPECIALTY HEALTH CARE. THIS FIRST-OF-ITS-KIND OFFERING ALSO ALLOWED MVP'S MEDICAID MEMBERS VIRTUAL HEALTH CARE ACCESS, AS THEY WERE PREVIOUSLY REGULATED TO SEE AN IN-PERSON PCP. MVP CONDUCTED EXTENSIVE COMMUNITY OUTREACH TO INFORM CUSTOMERS AND THE COMMUNITY ABOUT THE OFFERING. - PARTNERING WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN) TO PROVIDE A FIRST-OF-ITS-KIND CARE GUIDE BENEFIT, WHICH HELPS MEMBERS BETTER UNDERSTAND THEIR CONDITIONS AND NAVIGATE THEIR UNIQUE HEALTH NEEDS. THIS BENEFIT IS INCLUDED AS PART OF UNIVERSITY OF VERMONT HEALTH ADVANTAGE, A MEDICARE ADVANTAGE PLAN OFFERED BY A PARTNERSHIP BETWEEN MVP AND UVMHN AND IS A RESULT OF BOTH ORGANIZATION'S WORK TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. - PROVIDED FREE FLU SHOT CLINICS TO PROMOTE HEALTHY LIVING IN THE COMMUNITY AND PROMOTE PREVENTATIVE CARE, CONDUCTING WIDESPREAD OUTREACH TO ENSURE COMMUNITY MEMBERS KNEW THEY COULD GET VACCINATED. - SUPPORTED THE OPENING OF THE SOUTH END GROCERY STORE, A COMMUNITY GROCERY STORE AIMED AT ENDING THE FOOD DESERT IN ALBANY'S SOUTH END, IMPROVING ACCESS TO HEALTHY FOOD IN THE REGION. THESE ACTIVITIES ILLUSTRATE MVP'S STRONG COMMITMENT TO THE COMMUNITY IT SERVES AND ITS NON-PROFIT PURPOSE IN A VARIETY OF WAYS. THIS IS NOT A COMPLETE LIST OF MVP'S PAST AND ONGOING EFFORTS TO SUPPORT THE COMMUNITY.