For an older member, one bad move or one unsafe apartment can undo years of care. We reach them before the next hospital stay — and protect your Star Ratings while we do it.
Older adults are the fastest-growing group experiencing housing instability. Fixed incomes colliding with rising rents force impossible choices between medication, food, and shelter.
A rent increase, a property sale, or a safety issue threatens current living arrangements.
Stress rises, chronic conditions go unmanaged, preventive care is abandoned.
Unnecessary ER visits, prolonged hospitalizations, readmissions.
Medicare members don't always self-identify or get referred in time. So we work with your data to find rising-risk members and reach them before their health deteriorates.
“Upside's proactive approach shifted our strategy from reactive crisis management to true preventive care for our most vulnerable members.”
— VP of Population Health, regional MA plan
Housing instability is an SDOH and member-satisfaction lever. The program strengthens your plan bid and your measures.
Yes. We already run Medicaid programs; dual members are a natural overlap, and Medicare benefits interact with Medicaid housing services for LTSS transitions.
Rising-risk members become high-utilizers if no one intervenes. Outbound gets ahead of the inpatient stay.
