Moda Health

Welcome, Moda Health. From where you sit in the organization, you probably realize health care is more complicated than it needs to be. What if you could be part of the solution to transform health care as we know it – to make it more affordable, predictable and simple? Working together, we can take on your toughest challenges, expose opportunities to reduce costs and increase profitability, and help you prepare for what’s next.
Moda Health

Quality + Quantity = The Winning Combination

As you consider your strategy for regulated markets, it's important to address not only growth opportunities, but also to prioritize quality metrics. Our team is equipped to help you improve your Star ratings and capture the additional quality bonus payments you're currently missing out on.
3.5 3.5
In 2020, Moda Health had a 3.5 quality Stars rating, down from 4 Stars for Medicare Part D (MAPD) in 2019
$3.5 $3.5
If the plan had maintained the 4 Star rating for 2020, Moda Health would have received $3.5 million in quality bonus payments
91% 91%
of Express Scripts MAPD members were in contracts receiving at least 4 Stars in 2020, and plans received a total of $795 million in quality bonus payments

Gene therapies: Delivering on the promise of modern medicine

Gene therapies hold so much promise and potential, but also pose many challenges for plans and patients. Learn how we are bringing more affordability to these life-changing therapies through an innovative new solution.

When you win, we all win

Our team of dedicated subject matter experts is focused on helping you win new business in your market, and optimize to retain your existing clients.
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What it takes to win
Winning doesn't happen by accident. Applying nearly a decade's worth of data and sales expertise, we've uncovered some tried and true strategies that help our health plans win and retain – and some that don't.
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Aligned in the battle against carve out
We are always looking for additional ways to help you tell your story. Read our latest research of the value of integration, to help ensure you have the best ammunition to tell your carve-in story and keep your edge
Accelerate your growth strategy
Helping you win and retain your commercial clients begins with understanding your goals and the market dynamics. Working closely with your teams, we deliver market development expertise and sales support.

Learn more

We're committed to helping health plans grow. I look forward to continuing the conversation about how we can help Moda Health.
Do you have any questions? I'm here to help.