The HRA your plan owes CMS, completed by voice and SMS
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Who we built this for
Purpose-built for Special Needs Plans
Medicaid HRA requirements with state penalties. The highest-obligation, highest-miss population, and the hardest to reach by text alone.
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Annual HRA plus a condition-specific screening cadence. Members who need frequent, structured, longitudinal touch.
Growing enrollment, fixed compliance obligation, no desire to scale a nurse-outreach team linearly.
Who we built this for
SNP compliance runs on your most expensive, least scalable channel
Every SNP must complete a Health Risk Assessment within 90 days of enrollment and annually after. For D-SNPs, Medicaid layers on requirements with state penalties that do not lapse. Most plans meet this with field nurses, telephonic vendors, or mail.
At $100–125 per completion, a 10,000-member panel runs $1.0M–$1.25M a year — and the cost scales linearly as the plan grows.
What Lena does
One engagement engine across the member lifecycle
Outbound voice and SMS campaigns that complete initial and annual HRAs and reassessments on the member's schedule.
PHQ-2 that escalates to PHQ-9, plus social-need screening, administered with validated instruments and total scores through a compliant supplemental-data path.
Targeted outreach for A1c, eye exams, mammograms, and colonoscopy follow-up. Lena moves the member; the clinical event closes the gap.
Post-discharge visit booking and day-7 ED follow-up for your highest-utilization members.
Adherence outreach, advanced-care-planning navigation, and provider visit prep.
Reaches the senior, landline, and non-English members that text-only vendors structurally miss, then escalates to your team only when it matters.
For test- and visit-based measures (A1c, BP, eye exam, AWV, TCM) she drives the member to the closing event, completed by licensed staff per HEDIS MY2026 specs — she administers, she does not self-certify closure.
Altira in action
50%
reduction in 30-day readmissions
TCM completion vs. <20% industry average
80%
Reduction in care-coordination staff burden
0
Safety incidents to date
Craig Deligdish, MD
CEO
America’s MDE ACO
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How a pilot works
Prove it on your own members, in weeks
Low-risk entry, CSV to start. Expand to screenings, care gaps, and retention once the numbers are in.
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Deploys in weeks · integrates to your CM system · human-in-the-loop
See where Altira
fits in your plan
Start with a scoped HRA pilot on your own member list.
