Government plans, done the way New York needs.

Built from the ground up for NY Medicaid Managed Care, Essential Plan, Child Health Plus, Medicare Advantage, and HARP. Multilingual, NYC-integrated, HEDIS-aligned, value-based payment ready.

🏛️ 8 Medicaid MCOs🌎 7 languages native📊 VBP-ready

Built for NY Medicaid, by people who get it

The hardest population to serve. The most important one to do right.

NY Medicaid Managed Care covers 5+ million New Yorkers. The population is diverse, multilingual, and historically under-served by telehealth — partly because most national telehealth platforms weren't designed for Medicaid economics, language needs, or cultural realities. We were.

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Plans we serve

NY Medicaid Managed Care — Healthfirst, Fidelis Care, MetroPlus, EmblemHealth, MVP, Anthem HealthPlus, Molina Healthcare, UnitedHealthcare Community Plan
NY State Medicaid Fee-for-Service — for non-HMO members
Child Health Plus — children's coverage program
NY Essential Plan — Basic Health Program for low-income adults
NY Medicare Advantage — including D-SNPs and dual eligibles
HARP — Health and Recovery Plan for adults with significant behavioral health needs

Why government populations need a different approach

And how we deliver it.

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Language First

Member outreach, intake, and clinical care in Spanish, Mandarin, Cantonese, Russian, Bengali, Haitian Creole, Arabic. Not interpreter add-ons — native providers.

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Low-Bandwidth Friendly

Voice-only options. Works on basic phones. SMS-based check-ins. Designed for members on Lifeline/Affordable Connectivity plans.

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Community Aware

We know NYC H+H, FQHCs, Article 28 clinics, and community organizations. Warm hand-offs, not cold referrals.

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No Hidden Costs

Members never get surprise bills. We verify eligibility before every visit. $0 means $0.

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HEDIS Measure Support

Particularly strong on Adult Access (AAP), Well-Child (W30, WCC), Comprehensive Diabetes Care (CDC), Controlling Blood Pressure (CBP), Antidepressant Management (AMM), FUM/FUH.

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DSRIP / VBP Aligned

Built for the value-based payment world. Outcomes-focused contracts, shared savings arrangements, performance-based bonuses.

Standard implementation for Medicaid Managed Care plans

Live within a quarter.

Contract & credentialing

Provider credentialing, fee schedule, BAA. Typical 30 days.

EDI integration

Eligibility (270/271), claims (837/835), authorizations as needed. Typical 30 days, parallel.

Member materials

Co-branded outreach materials in 5+ languages. Mailings, SMS, app push messaging configured.

Soft launch

Subset of members (typically 5-10%) for 30 days. We monitor and refine.

Full launch

All members. Quarterly outcomes reporting begins.

FAQ

Common questions.

How do you handle eligibility verification?

Real-time 270/271 EDI transactions with each plan. We verify at every member touchpoint — appointment booking, visit start, claim submission. Members never face balance billing because of mis-verified eligibility.

What's your fee structure for Medicaid?

We typically contract on PMPM (per-member-per-month) for the assigned population, plus standard FFS for specific service lines. We're transparent about pricing and flexible — most NY Medicaid Managed Care plans find our economics work well.

Can you support transition of care (TOC) measures?

Yes. We provide post-discharge follow-up visits within 7 days (FUM, FUH measures) and 30 days for medical conditions. We coordinate with discharge planners at NYC H+H, Mount Sinai, NYU, and other NYC hospitals.

Do you participate in DSRIP-style or VBP arrangements?

Yes — we have experience with NY State's Value Based Payment (VBP) framework. We're open to upside-only and two-sided risk arrangements aligned with NCQA, HEDIS, and member-rated quality measures.

How do you handle Members with HARP designation?

Carefully. HARP members have access to specific behavioral health and BH-HCBS services. Our mental health team is trained on HARP requirements, recovery-oriented practice, and care coordination with HHHC providers.

Build a telehealth solution for your government members.

Schedule a partnership conversation with our team.