Helping Plan Members Age in Place

Navigating Long-Term Care

As a health plan provider, you engage on a daily basis with older adults and their families as they struggle to navigate care, health and housing. Aging is a journey. Benefits advisors often become quarterbacks for their members, connecting them to services within the plan or referring them to community resources that can help.

But who is supporting you, the health plan provider, as you focus on:

Meet Upside – Building Community that Advances Healthy Outcomes

Upside makes it simple for health plans to offer programs designed for specific populations, add supports to plan benefits, and address the leading cause of health decline: housing. Upside is the first comprehensive, vertically integrated housing benefit with a national footprint that allows us to offer members variety in terms of location, cost and amenities.

Upside partners with the nation’s largest, traditional multifamily operators to offer older adults housing options that suit their lifestyle, budget and desired location. Then, we layer services as needed: meal delivery and preparation, transportation, daily engagement and health activities.

Essentially, Upside can source housing for members in any given geography and also provide Social Determinants of Health (SDoH) concierge services through our Aging in Place specialists.

Upside enables people to age in place. Not any place, the right place.

Upside is a game changer – a brand-new, innovative housing model for adults who enjoy their independence and do not like the idea of a senior campus, set schedule, required meals and the stigma of senior living.

With Upside, you give health plan members access to traditional housing in appealing locations with services that wrap around existing benefits.

The result: Satisfied members who have resources in place through your plan and Upside to age in place with better health outcomes.

Housing is the Hub for Health

Housing is the central point of our lives. It’s home base for a reason, touching everything from transportation to access to healthcare and meals. Housing also impacts healthcare coverage and benefits.

When we look at the aging continuum, access to in-home support and services is a real challenge. When a trigger event like a fall, death, disaster, disability or divorce occurs, older adults can feel pushed into the traditional care model that limits choices and is cost-prohibitive for many populations. Ironically, scenarios like independent and assisted living, or nursing homes, can accelerate the aging process. This results in costly claims and erodes the value your members should realize from their health plan.

Upside enables members to delay and even avoid costly moves to institutional care facilities by offering the support they need, where and when they need it. For health plans, this means improving health outcomes and reducing costly claims that contribute to escalating premiums. With Upside, health plans have a turnkey resource for members to transition into housing that is cost-effective and can include only the supports they need and want.

An ROI Approach Delivers Value

Upside gathers data through our proprietary SDoH survey and tracks performance metrics through accrediting agencies like STAR, HEDIS, RAF/HCC, CAHPS/HOS and others. Data drives strategic decision-making for health plans. We are focused on continuous data gathering and analytics, offering real-time dashboards and reporting that can be integrated with electronic medical records. Upside’s offering for health plans is designed to impact the top and bottom line. Here’s how we do it:

Reduce Costs

Improve Quality Matrices

Better Health Outcomes

Member Retention and Satisfaction

*Upside is proud of our NPS rating of 95+

Support Your Plan Members’ Aging Journey

With Upside, you can provide affordable, appealing housing in traditional communities and services that help keep your members healthy, active and engaged. Here is how we can support your members:

  • Leverage our fully independent SDoH data and reporting to inform plan design.
  • Offer technology solutions and dedicated vendors to modify housing for members.
  • Provide access to an Upside Manager to help members manage everyday tasks in their own homes
  • Provide access to suitable, healthy housing options – fully managed apartments with “Senior Living as a Service” solutions.
  • Enhance coverage with skilled home care through Upside+
  • Offer matching, referral and transition support to members who need more care in assisted living or a nursing home.

The Member Advantage – Your Upside Plan, Your Way

Our experienced team works with you to design a specific program for your health plan’s population. You decide what supports offer value to members. Then, we’ll manage communications and engagement so members fully utilize the benefit to drive better health and financial outcomes. Dedicated Upside Managers are non-clinical concierges who work directly with Health Plan Coordinators. You maintain the member relationship while gaining support to do more and give more. Everyone wins.

Health Plans + Upside – How It Works

Upside helps your members age in place in multiple ways. First, we conduct a baseline risk and SDoH assessment to understand your target market so we can focus offerings on your population, whether that’s consumers with Medicare Advantage, D-SNP, Medicaid or commercial plans. Then, we deliver a risk data report so you can understand the vulnerabilities your members are facing. This way, we can tailor housing choices, amenities and supports that suit their specific needs.

Upside Support Options are delivered through an integrated model that combines the investments you already make in support resources and care, along with strapping additional Upside managed services around affordable housing units.

Your members benefit from an in-home safety assessment and Upside managed housing. That includes the following:

Upside also offers the following supports to members:

Housing Navigation

Food Services

Transportation

Cross-Domain

Upside can scale up or down with members’ needs.

We work with a wide range of health plans and long-term care providers with varying added-value services and benefits in place. Some providers are looking for a comprehensive suite of Upside living and concierge services, while others are interested in wrap-around supports to enhance their existing offering.

The Upside of Aging in Place

Care is moving home, and Upside is ahead of the market with a new category of living for adults who embrace independence and appreciate a menu of services and supports they can select if and when they need them. According to a McKinsey report, the consultancy expects $265 billion in care services to migrate to the home by 2025. Upside is positioned to align health plan providers with the growing population of people who want to age in place.

As a health plan provider, you can deliver the resources, services and supports your members want and need, while benefiting your top and bottom line. You’ll improve member retention and satisfaction, help members optimize their benefits, and reduce costly claims with proactive housing and health-centered services.

We’re redefining what it means to age in place.

Join us on the journey and deliver the value your members are seeking as they navigate aging in place.

Upside

6365 NW 6TH Way, Suite 200

Fort Lauderdale, FL 33309