Published: Oct 16, 2013

Safety-Net Health Plan and ACAP Member Selects Leading Care Management Provider to
Help Improve Health Outcomes, Reduce Avoidable Costs

October 31, 2013 – Reston, VA – Altruista Health, Inc., an innovative provider of care and disease management technology for health plans, providers and coordinated care organizations, announces that they have signed an agreement with Santa Clara Family Health Plan, a not-for-profit health plan dedicated to improving the health of Santa Clara County, CA residents, to implement Altruista’s GuidingCare care management solution.

“Safety-net plans such as Santa Clara are motivated to reduce the costs of care for their at-risk member populations, while also improving overall quality of care,” said Ashish Kachru, CEO of Altruista Health. “GuidingCare’s web-based care coordination and automated decision support tools will help them achieve these goals.”

GuidingCare is a patient-centric care management system that helps health plans improve health outcomes and reduce avoidable costs associated with populations suffering from or at risk for chronic illness. GuidingCare includes several modules that will enable Santa Clara to maximize their limited resources and improve the health of their members, including predictive modeling, gaps-in-care analytics, care management, utilization management, appeals & grievances management and role-based portals for providers and member services teams.

Among GuidingCare’s most valuable aspects for Santa Clara is its UCSD predictive measure set. GuidingCare is the only care management platform to offer this model, which is optimized to help Santa Clara identify high-risk Medicaid-Medicare populations. The model is currently used by the state of California to help drive their risk-adjustment decisions.

“Altruista Health impressed us with their technology, vision, and level of expertise,” said Diane Brown, Director of Medical Management for Santa Clara. “GuidingCare integrates every vital component of a care management system into a rapidly deployable platform that will provide Santa Clara with crucial guidance and support as we strive to deliver high-quality, cost-effective care to our safety-net patient populations.”

Santa Clara is a member of the Association for Community Affiliated Plans (ACAP), a national trade association representing 58 nonprofit safety net health plans in 24 states. Altruista Health is an ACAP Preferred Vendor, and its GuidingCare solution has been developed and optimized specifically for the safety-net populations served by ACAP plans. Including Santa Clara, Altruista Health counts six ACAP members as clients.

About Santa Clara Family Health Plan
Santa Clara Family Health Plan is a public not-for-profit health plan dedicated to improving the health and well-being of the residents of Santa Clara County. The organization’s mission is to provide high quality, comprehensive health care coverage for those who do not have access to, or are not able to purchase, good health care at an affordable price. Santa Clara currently serves over 150,000 residents of Santa Clara County. For more information, visit www.scfhp.com.

About Altruista Health
Altruista Health, Inc. provides patient-centric and customizable population care management solutions for health plans and providers. The company develops and delivers software tools, data analytics and support services that help streamline clinical and administrative processes, improve patient outcomes and reduce avoidable healthcare costs. Altruista Health clients include commercial and government health payers, health systems and care management organizations. For more information, visit www.altruistahealth.com.