Special Needs Plans Improve Care and Access

September 12, 2022 by Provider Magazine

Steve Fogg, chief financial officer of Marquis Companies, has been in the long term care industry since 1986 as part of a multi-generational family business in Oregon. Marquis Companies became actively engaged in population health management (PHM) in 2015, which led to the launch of its institutional special needs plan (I-SNP) named Ageright Advantage Health Plan. Provider magazine spoke with Fogg to talk about the growth of SNPs, how SNPs improve care access, and validation of the care model during the pandemic.

Provider magazine: Despite the pandemic, long term care provider-led I-SNPs grew from 9 percent of all I-SNPs in 2015 to 33 percent in 2020 and 37 percent in 2021. What are you observing now about the prevalence of long term care provider-led I-SNPs? Where do you think the market will be in 5 to 10 years?

Steve Fogg: Provider-owned SNPs were probably the fastest growing segment in long term care prior to the pandemic. The desire for providers was to elevate physician services, advanced practice clinician services, and to be able to drive a better experience and outcomes. Provider-owned plans grew in terms of market share, but if you look at membership, the number of individuals that are insured under these plans, it’s not nearly as aggressive. During the pandemic, the rate of growth was not as high as it could have been. As we head out of the pandemic, there’s no reason why we won’t continue to see growth in this space with more providers wanting to enter into SNPs.

Read the full article on Provider Magazine