Medica 2020 Annual Report

Medica 2020 Annual Report

2 02 0 ANNUA L R E PORT

The power of community

In a year of crisis, we leaned on our values and relationships to protect our members and provide support to the diverse communities we serve.

ME S S AGE F ROM OUR CEO

The power of community

The community has trusted Medica for more than 45 years to protect their most precious gift — their health. We take this responsibility seriously. Our commitment to support the health and well-being of our members, customers, providers, and community partners was stronger than ever in 2020. It was a year of grief and sadness, as many people lost loved ones to COVID-19 and many more were isolated from family, friends, and other sources of support. There was anxiety and fear as the pandemic attacked our health, undermined our sense of security, shuttered businesses, disrupted livelihoods, and triggered a wave of hunger. It was also a year of mourning and pain, as we witnessed the senseless death of George Floyd and the unrest that followed. We saw the effects of injustice on people in crisis, and we heard the chorus of voices calling for a more equitable, inclusive society. Throughout this year of profound crisis, my Medica colleagues and I leaned on our values and relationships to protect your health and respond to critical needs in the communities we serve. You can count on us to continue to find ways to do so through 2021 and beyond. On behalf of our entire team, thank you for your support, your partnership, and the trust you place in Medica.

John Naylor President & CEO

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Medica at a glance

We're a nonprofit health plan with a 45-year history of providing affordable access to high-quality health care to our customers and members, and advancing health for everyone in the communities we serve.

MI S S I ON

V I S I ON To be trusted in the community for our unwavering commitment to high-quality, affordable health care.

VALUE S

To be the trusted health plan of choice for customers, members, partners, and our employees.

Customer focus Excellence Stewardship

Integrity Diversity

We’ve got you covered

Nearly 1 million people trusted us to safeguard their health through a global health crisis.

594,000 Employer-Based

157,000

Medicare + Medicaid

182,000

Individual + Family

2 0 2 0 MEMB E R S BY COV E R AG E T Y P E

We’re your neighbor

We offer health insurance plans in nine states across America’s heartland. Our local office teams help us stay connected with the communities we serve:

M I NN E SOTA

Minnetonka (Headquarters), Duluth, St. Cloud, St. Paul (Opening July 2021)

NORTH DA KOTA

Fargo

N E B R A S K A

Omaha

In 2020, we introduced new options for 2021 coverage to groups and individuals in five states. We offer more plans in more places

Plans for employer groups 3 new counties in Iowa 93 new counties in Nebraska

Plans for Medicare beneficiaries 4 new counties in Iowa 15 new counties in Kansas 18 new counties in Minnesota 3 new counties in Nebraska

Plans for people living with disabilities 3 new counties in Minnesota

Plans for individuals + families 33 new counties in Missouri

CR I S I S R E S PON S E

Calling with care

When your health is threatened, you need your health plan to be more than just a card in your wallet.

The COVID-19 pandemic presented an immediate threat to our members, customers, providers, business partners, and nonprofit organizations that provide vital services in our communities. Our stakeholders were counting on us, and we couldn’t let them down. Our priority was to support our most vulnerable members. Within two weeks of the national emergency declaration on March 13, our nurses began calling members over age 80 with three or more risk factors for COVID-19. We asked how they were and what they needed, and we connected those with needs to resources such as mail-order prescription delivery, transportation, mental health care, and community services.

The calls were often emotional. One member told our case manager she was the first person he’d spoken to in weeks. Many others told us they were grateful their health plan truly cared about them. Expanding our reach With our operational model in place, we rapidly expanded the calling program. In total, we reached out to 141,000 at-risk members across nine states, including those who worked in essential settings like nursing homes and meatpacking plants. We also worked with our health care system partners, like Waconia, Minn.-based Ridgeview, to reach thousands more of our shared members. We identified at-risk enrollees in our accountable care organization (ACO) plans and equipped our provider partners with a needs assessment tool and community-specific resource lists. Erica Schuler, RN, Ridgeview’s director of ACO and value-based care, called dozens of patients. “As we rapidly adjusted our hospital and clinic operations for the pandemic, we just didn’t have extra IT resources to identify patients for outreach,” she says.

“It’s good to know someone out there really cares about us.”

Medica member who received a COVID-19 outreach call

Thanks for the well-being call and check-in from @Medica4Me. Nice to know they are looking out for folks. #FlattenTheCurve

“Medica gave us a turnkey program and the patient >Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28

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