MVP HEALTH PLAN INC
625 State Street, Schenectady, NY 12305 www.mvphealthcare.com

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Organizations Filed Purposes: A not-for-profit health maintenance org serving upstate NY and VT communities including their NY Medicaid, CHIP, HARP, Essential Plan, Medicare & Exchange populations.

The organization, MVP Health Plan, Inc. (MVP), is a not-for-profit health maintenance organization (HMO) serving New York and Vermont communities, including their Medicaid Managed Care, Child Health Plus (CHP), Health and Recovery Plan (HARP), Essential Plan, and Medicare Advantage populations. During the year 2019, MVP had Medicaid Managed Care, CHP, HARP, and Essential Plan enrollment of 187,639 in New York State. MVP Medicare Advantage enrollment totaled 65,261 during 2019 through its Medicare Advantage contracts. MVP also had 2019 commercial (large and small group and individual) HMO enrollment totaling 100,059. While serving the populations who rely on Medicaid Managed Care, CHP, HARP, and Essential Plan is central to MVPs purpose, MVP also promotes and improves the delivery of health care service in the community and the efficiency and quality of health care services through its efforts to serve commercial membership. During 2019, MVP continued to support its members with features such as online well-being tools and online access to telehealth services, including myVisitNow. With myVisitNow, MVP members can access health care professionals 24/7/365 using a tablet, smartphone, or computer with a webcam. This telehealth benefit makes it easier for members to conveniently self-schedule appointments with behavioral health professionals, nutritionists, and lactation consultants, as well as access care via online video chat. In addition to the above, MVP participates in quality and satisfaction-focused programs sponsored by the Centers for Medicaid & Medicare Services (CMS), which administers the CMS Stars Program, the New York State Department of Health (NYSDOH), which administers the Quality Assurance Reporting Requirements (QARR) Program and Marketplace Plan Reporting Requirements for New York, the Vermont Department of Financial Regulation (DFR), which administers the Marketplace reporting Requirements for Vermont, and the National Committee for Quality Assurance (NCQA), which administers the voluntary Health Plan Accreditation Program. These programs require that health plans collect and monitor information pertaining to the quality of care delivered and member satisfaction experienced by members with the overall goal of improving and maintaining the health and satisfaction of members. Quality and satisfaction are measured by industry standard tools such as the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Health Plan Survey (CAHPS). Through the 2019 CMS Stars Program, health plans are compared to state and national benchmarks as well as the performance of other health plans to provide a normative understanding of performance and a frame of reference for improvement targets. Based upon the results of these measurements, MVP achieved a rating of 4 stars for its HMO Medicare product and 4.5 stars for its PPO Medicare products. These star ratings are out of a total possible score of 5.0 stars and represent strong performance. Overall MVPs performance remains credible as compared to the industry and MVP remains committed to ongoing review of the quality of care delivered to its members and satisfaction of its members for new improvement opportunities. MVP chose to opt out of reporting the 2019 QRS rating for the VT Exchange products. As a not-for-profit HMO, MVP has a responsibility to support the communities within its service area. Recognizing that community needs are multifaceted, MVP has an overarching vision that infiltrates all that MVP does - to help create healthy communities. To support this vision, MVP is focusing on four key areas: social and economic factors; health behaviors; clinical care; and the physical environment. This support can be evidenced through both financial assistance and employee engagement. MVP provided more than $1,000,000 of direct and staff time to local not-for-profit organizations in support of projects that are focused on creating healthy communities. Working with community based not-for-profit organizations and hospitals, MVP provided financial support for such programs as: Company-wide: - Coats for Kids: With this all-company effort, combining new and used coat donations, as well as coats purchased by MVP, more than 6500 coats were distributed to children in need across New York State. - Underwriting dental care in rural and urban locations including the Adirondack region, the Arbor Hill area in Albany, Sullivan County, and Montpelier Vermont. Volunteerism: - MVP supported a wide range of services to community-based organizations through the employee volunteer program. In 2019, 84% of employees volunteered at 118 organizations providing 9160 hours equating to 244 weeks of volunteer hours. Capital Region, NY: - Partnered with the Alliance for Better Health to develop projects that would enhance services to those in need in the community while connecting Community-Based Organizations (CBOs) and their clients with a closed-loop referral system (UniteUS) that ensures the clients are receiving the necessary services to reduce social determinants of health (SDOH); - Funded a tele-health kiosk at Unity House to encourage clients and staff to utilize this service to meet medical needs; - Supported Capital Roots Healthy Stores Initiative bringing fresh fruits and vegetables into convenience stores in economically challenged communities in Albany, Schenectady and Troy; and underwriting the Produce Center at the Urban Grow Center in Troy; - Led a coalition, including other foundations and companies, to support a Weekend Backpack program in the Schenectady City Schools providing nutritious food for the weekend for more than 1,200 elementary students, as well as countywide; - In partnership with the Albany College of Pharmacy and Health Sciences, supported two neighborhood-based student-operated pharmacies, College Hometown Pharmacy, housed in Hometown Health Center, Schenectady Countys only not-for-profit federally qualified health center, and College Parkside Pharmacy located in the South End of Albany that serve as a practice setting for student pharmacists to assess and manage patients with chronic diseases and learn aspects of public health, disease prevention and physical assessment, and at the same time providing access to pharmacy services; and - Participated with area organizations to bring Green & Healthy Homes Initiative (GHHI) to this area assisting three counties in streamlining their services and leveraging home repair resources. Rochester, NY & Central NY Region: - Provided funding to United Way of Greater Rochester Region to develop and administer training programs for non-profit businesses in the region free of charge; - Funded a pilot program with Anthony Jordan Center and Foodlink to provide health literacy programs for individuals with chronic disease, which combine regular check-ups with food vouchers to be used at the curbside markets provided by Foodlink or combined with SNAP benefits to double the value; and - Provided funding to the Rochester Construction training program to provide training to unemployed/underemployed individuals in the Rochester region to help them attain construction skills leading to a sustainable living wage and wrap around services including housing, health issues, financial insecurity or counseling services. Hudson Valley and NY Metro Area: - Contributed to the Westchester Workforce Funders Collaborative (WWFC), which works to meet current and projected skill shortages faced by Westchester and Putnam County employers in high-demand sectors and to enhance the economic mobility of residents; - Provided funding to Open Door in Ossining, NY to continue their 8-week health literacy effort for mothers and their newborns and as part of that effort provided each participant a portable crib/playard (e.g., Graco Pack 'n Play) to ensure safe sleeping for their infant; and - Provided funding to the Mid-Hudson Childrens museum for food and nutrition counseling and programming geared toward families living below the poverty level, which included free meals and demonstrations of how to prepare healthy meals on a limited budget. These varied activities represent MVPs strong commitment to its not-for-profit purpose, but do not reflect an exhaustive list of the contributions that MVP has made and continues to make to the communities and membership population that it serves.

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