Case Study
Brand New Day Makes Award-Winning Clinical Integration A Reality
The Westminster, California-based Medicare Advantage plan has about 50,000 members in 12 counties in Southern and Northern California. The organization began more than three decades ago as a special needs health plan, making its product lines and patient population unique. Today, Brand New Day offers comprehensive benefit programs focused on Medicare-only; Medicare and Medi-Cal; and individuals with ongoing medical conditions such as diabetes, cardiovascular disease, dementia, or mental illness; and those who live in long-term care facilities. Like many plans, Brand New Day faces challenges with clinical integration and patient population management. These issues range from getting providers to use online tools instead of calls and faxes, to engaging with non-contracted providers.