SCAN Health Plan (SCAN) is a not-for-profit, Medicare Advantage, health maintenance organization (HMO) based in Long Beach, California. Founded in 1977, they provide healthcare coverage to Medicare beneficiaries throughout the state, currently serving nearly 200,000 members. They are one of the largest not-for-profit Medicare Advantage Prescription Drug plans in the country.
Video SCAN Health Plan
Early History
The Senior Care Action Network, or SCAN, was created based on the proposal developed by the team at USC. (The new network was briefly known as the Long Beach Geriatric Healthcare Council, Inc., before changing its name to SCAN.) Their healthcare delivery model was centered on assessing each senior's needs on an individual level in order to coordinate appropriately for each unique case, providing specific social services and medical care through a network of local agencies, community providers and hospitals.
Maps SCAN Health Plan
Social HMO
In November 1984, under a three-and-a-half-year contract with the federal government, SCAN was officially licensed as a health plan in California. In March 1985, they began enrolling members in their Social HMO. Congress renewed the SHMO demonstration project five times before the program was ended in 2004.
Key Dates
SCAN was founded in 1977 by a group of seniors who were frustrated by their lack of access to services and who wanted an organization that addressed their specific needs. These seniors formed the Senior Care Action Network, now known as SCAN Health Plan.
Up until 1982, SCAN was relatively unknown. In that year, however, Congress awarded the organization one of four Social Health Maintenance Organization (SHMO) contracts, which became effective in 1985. The SHMO contract was renewed several times over the years until the Social HMO program ended.
In 1996, SCAN expanded into three Southern California counties: Orange, Riverside, and San Bernardino. The HMO expanded to Ventura County, California, in 2005, to Kern County, California, and Maricopa County, Arizona, in 2006, and to San Diego County, California, in 2007. The company entered the Northern California market in 2010, with Contra Costa, San Francisco, San Joaquin, and Santa Clara counties. SCAN added a second Arizona county, Pima County, in 2011.
In 2015, SCAN expanded into two Northern California counties: Napa and Sonoma.
In 2015, SCAN was ranked by the Centers for Medicare and Medicaid (CMS) as a 4.0 Star plan.
For 2018, SCAN Health Plan received an overall Star Rating of 4.5 from Medicare.
Coverage by Counties
SCAN provides coverage in two regions: Southern California, Northern California:
As of the new benefit year commencing on January 1, 2018, SCAN Health Plan no longer provides coverage in the county of San Joaquin.
Independence at Home
One of the first eight Multi-Purpose Senior Service Projects (MSSP) in California, Independence at Home (IAH) now operates as a division of SCAN Health Plan. IAH provides community-based, long-term care and personal care coordination for low-income, frail seniors, as well as functionally disabled adults. With a mission of enabling clients to stay healthy and independent in their own homes, IAH is projected to serve approximately 17,000 clients in 2014.
References
External links
- SCAN Health Plan
Source of article : Wikipedia
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