Market Mover

Health care costs continue to rise, creating an affordability crisis in the US. Too much of the general population is disconnected from primary care with either no engagement or no trusted relationship. This disconnect is the root cause of poor cost, quality and experience results we see from the current healthcare system.

‍Recognizing the power of primary care, Elevance and CD&R formed a strategic partnership in April 2024 to accelerate innovation in primary care delivery, enhance the healthcare experience, and improve outcomes. They brought together apree health’s APC capabilities, Carelon’s clinics serving patients with complex and chronic conditions, and Millenium Physician Group's (MPG) physicians throughout Florida, Texas and North Carolina.

These entities came together to form Mosaic Health to:

• Expand primary care coverage beyond the one million customers they service today across 19 states - with access for Commercial, Individual Exchange, Medicare and Medicaid health plans.
• Enable the exchange of resources and knowledge across the three companies working towards the whole-health approach to health care.
• Continue to innovate on risk-based care delivery models.

apree health brings Mosaic Health a powerful combination of capabilities: state-of-the-art navigation technology and services paired with advanced primary care centers for the data backbone and the comprehensive care model that addresses whole health. Their APC model offers a care team approach with primary care providers, behavioral health clinicians, diabetes educators and health coaches focused on driving people to high-value care. The technology-enabled model powers a navigation platform that integrates and refers into the best of the local care delivery landscape, delivering outcomes and value with full accountability for total cost of care.

apree’s navigation, clinical advocacy and advanced primary care offerings have been a pivotal lever in managing chronic conditions, reducing unnecessary emergency visits and closing gaps in preventative care, demonstrating a 67% engagement rate, 86+ net promoter score, top 25% HEDIS quality scores and up to $85 PMPM cost savings. They offer:

• Whole-Health Approach: Care centers that address physical, social and behavioral health to provide stronger patient-provider relationships supported by data-driven insights, care coordination, and integrated care teams with behavioral health, health coaching and more.
• Focus on Value: Realigned incentives through value-based care agreements that enable care providers, assist individuals in leading healthier lives, and make care more affordable.
• Digital Navigation: Simplifying the member health care experience by providing a single place to access their health and wellbeing needs.
• Advocacy Support: Care Guides help members navigate their health care through phone or chat. This can be simple like finding a doctor to complex care management.
• Integrated Benefits: Investments in condition-specific solutions become part of the navigation experience for easier access and better engagement with your members.
• Focus on Primary Care: Navigation and advocacy focused on ensuring every person has access and a trusted relationship with a local, high-value primary care provider.
• Data-Driven Personalization: Predictive personalization engine identifies next best actions tailored to each individual's unique health journey.