How Our SNP Model of Care Supports You

2025 Performance Highlights

At ProCare Advantage, our Medicare Advantage Special Needs Plan (SNP) is built to support members with ongoing or complex health needs. We do this through our Model of Care. This approach puts you at the center of your care and helps make services easier to understand and use.

What Is a Model of Care?

Our Model of Care helps make sure you get the care you need, when you need it. It focuses on:

• Working together with your doctors, hospitals, and pharmacies
• Creating a care plan based on your health needs and goals
• Checking in with you after hospital stays or major health changes
• Using a care team to help manage your care

This team based approach helps you get the right care at the right time.

How Did the Plan Perform?

In 2025, the plan showed strong overall performance in many key areas. We are proud of the progress made to support our members.

Goals Met

• Medication Review | Members received medication reviews to make sure their medicines were safe, worked well together, and supported their health.
• Adult Preventive Care Visits | Providers helped make sure members had visits regularly. These visits help find health concerns early and support long-term health and wellness.
• Understanding Daily Living Needs | Members completed assessments to help the care team understand how they manage daily activities. This information helps create a care plan that supports independence and quality of life.

Opportunity Identified

• Health Risk Assessment (HRA) Completion | Many members completed the Health Risk Assessment, but participation did not meet our goal. Higher completion helps us identify health and resource needs for all members.
• Interdisciplinary Care Team (ICT) Meetings | ICT meetings help bring members and their care team together to support their health. Although many members had a completed meeting, results were below our goal. We are working to increase these meetings to strengthen teamwork and better support member care.

What This Means for You

These results show that ProCare Advantage delivers reliable care with a strong commitment to continue to improve services for our members. We remain committed to supporting you by:

• Strengthening teamwork among care providers
• Using results and member feedback to improve services

Thank you for being a valued member of our health plan. We look forward to continuing to support your health and well being.

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