In Celebration of

Centenarians

Scan health plan logo

2019 Report to Our Communities

What a difference a year makes.

Our Community Report is a look back at the past year. We would be remiss, however, not to acknowledge the impact of COVID-19 in 2020. Please know that we remain senior-centered. We remain focused on our mission. And we continue to build on the accomplishments of the last year to continually improve how we serve and support seniors. It is in this spirit that we invite you to review our 2019 Community Report: In Celebration of Centenarians.

Mission

Keeping Seniors Healthy and Independent

On the cover:

ALTA "GRACE"

Age 101

“I grew up in Jerome, Arizona, and my happiest memory is learning Spanish verses at the local opera house.”

Meet more SCAN members who are 100 and older throughout this report and learn about our “stages: 100 over 100” campaign on page 10.

High-tech, high-touch and always senior-centered.

When SCAN was founded in 1977, it was seniors who took the lead, bringing together the services and support they needed to remain healthy and independent. SCAN looks a little different today, but the mission remains the same. And, as incoming CEO, I’m very proud to be stepping into this organization at this point in time.

While we are focused on the future for SCAN and for senior care, I want to acknowledge the work of my predecessor, Chris Wing, and the team at SCAN that accomplished so much in 2019. This report highlights just some of their work—in particular, the organization’s commitment to person-centered innovation.  

SCAN reached a high-water mark when the health plan membership hit 215,000 by year’s end. This growth inspires us to help even more older adults remain healthy and independent.

At the same time, it challenges us: How do we continue to deliver care and services that speak directly to our members’ needs, when those needs are as diverse as the members themselves?

SCAN has stepped up to meet this challenge with the strategic use of technology, innovative processes, and productive partnerships to ensure that what matters most to older adults remains at the center of everything we do.

That means the personal touch we’re known for also remains front and center. As valuable as a Fitbit, a text or data-driven outreach can be, none can replace bringing a cake to celebrate a 104-year-old member on her birthday, helping seniors share their life stories in a Guided Autobiography workshop, or calling to see how a member is doing after coming home from the hospital. These moments matter.

We look forward to delivering many more such moments in the years to come.

sachin h jain headshot image


Sachin H. Jain, MD, MBA, FACP
President and CEO, SCAN Group and SCAN Health Plan

ROZELLA

Age 101

“I love getting dressed up and wearing a beautiful hat to attend church every Sunday. I think I have owned at least 500 hats over the years!”

2019

Achievements

CMS 4.5 Star Rating*

For the third consecutive year, we earned 4.5 stars in Medicare’s 5-star quality rating system.

*Star rating applies to all plans offered by SCAN Health Plan except SCAN Healthy at Home and VillageHealth. Star ratings are calculated each year and may change from one year to the next.

4.22/5 Employee Engagement

Our score continues to improve each year—we’re in the top 9 percent of Gallup’s client companies nationwide!

90% Member Satisfaction

As reported in Medicare & You, 2020

Milestones

Building and maintaining relationships: Membership growth and member retention are equally important.

215,000 Members

As of December 2019

21,953 New Members

Gained during one of the most successful
Annual Enrollment Periods in our history!

Awards

We don’t work to win awards, but we always appreciate when our efforts to provide quality service and care to our members are validated. In the past year, we were recognized with these honors:

U.S. News &
World Report

Best Insurance Companies
for Medicare Advantage 2020

STEVIE® Gold Sales & Customer Service Award
Customer Service Department
of the Year

STEVIE® Silver Sales & Customer Service Award
Customer Service Management Team

STEVIE® Gold American Business Award
Customer Service Department and Management Team of the Year

ICMI Awards Finalist
Best Medium Contact Center
Best Contact Center Culture

JACK

Age 100

“My wife and I have been married for 71 years, and you know what my secret is? Doing what your wife
tells you.”

Members

Always Front and Center

While we all may face similar challenges as we age, our needs, preferences and expectations are as individual as we are. That’s exactly what a person-centered approach takes into account—and why that’s been our approach from day one. SCAN has always believed that healthcare can and should fit into our members’ lives, on their terms. An important part of this is recognizing and addressing the other factors that impact a person’s health: income, nutrition, housing and transportation, to name just a few of the social determinants of health. To be truly effective, healthcare must be holistic, and health coverage must be flexible.

High-Quality, Affordable Care

Whether a Medicare Advantage Prescription Drug (MAPD) plan or one of our Special Needs Plans (SNPs), all SCAN plans are designed to ensure our members have access to high-quality care that’s affordable, too.

2020 | Percent of SCAN members who pay:

$0 Inpatient hospitalization 81%

$0 PCP office visit 85%

$0 Monthly premium 89%

$0 Tier 1 drugs 96%

Plus, members have access to benefits beyond what Medicare alone covers.

2020 | Percent of SCAN members who have:

$0 Telehealth 93%

Fixed-cost hearing aids  97%

$0 Gym Membership  99%

$0 Transportation   99%

$0 Meal benefit  99%

Chiropractic benefit  99%

Vision care  99%

New Benefits:
A Better Fit

In 2019, Medicare allowed health plans more flexibility in benefit design, enabling us to offer services and tools that are better tailored to members’ needs and lifestyles.

  • Response to the new Fitbit benefit has been even greater than expected. The free fitness trackers are a fun way for members to set and reach their health and fitness goals.
  • Members with full-time family caregivers have access to up to 40 hours of respite care per year, so that members and their families can all live their best lives.
  • Telehealth visits are a convenient alternative for urgent care. Being able to see a board-certified doctor at any time by phone or computer helps improve access for seniors who lack transportation or have mobility issues. It’s also a quick resource for those who are away from home when an urgent situation arises.
  • Home Advantage provides a home safety review and help implementing recommended modifications to members who are at risk for falls or who struggle with everyday activities.
  • After a hospital stay, Returning to Home offers caregiver visits, home-delivered meals, medication counseling and ongoing support so members stay on the road to recovery and out of the hospital.

FILOMENA

Age 100

“I’m so happy because I have my family and my house, and my mind is still good. When my grandchildren visit they ask me, ‘Do you know who I am?’ I can say, ‘Sure, I know who you are!’”

Assessing HRA for All

While Health Risk Assessments (HRAs) are required for Special Needs Plan members, we think it’s important to get this information for all our members. After piloting “HRA for All” in the Fall of 2018, we rolled it out more broadly in 2019—and dove deeper into the results. Most members who completed an HRA reported that they were in good or better health. That’s great to hear! Some members, however, reported issues related to social determinants of health and other complex issues that impact their well-being and independence. Much of SCAN’s work in 2019 focused on identifying and addressing these challenges.

HRA RESULTS | Fall 2018 through Dec. 2019

81% members completed an HRA

77% reported being in good or better health

36% said that pain interfered with their daily life

35% feel lonely

28% have trouble with balance or walking, or had fallen recently

15% do not have friends or family willing to help when needed

7% couldn't get food when needed

2% are homeless or housing insecure

We appreciate the notes many members add to the margins of their written survey responses. They remind us that behind the data are real people with lives and stories to tell. And priorities of their own. One member thought it important we know that she has “5 children, 10 grandchildren and 7 great grandchildren: a full house!” And, clearly, a full heart.

Expert Advice from the Experts Themselves.

Who better to identify the care and services that would best support high-needs members than those seniors themselves? In 2019, several initiatives benefited from the direct involvement of these members.

We identified these participants mainly through their HRA responses, and invited them to share their experience and insight so we could better understand and address such issues as chronic pain and the challenges of living with multiple complex medical and social needs. We held focus groups, made phone calls, and even visited members in their homes to ensure we got the full picture.

Their involvement in this process helps ensure that the benefits, programs and services we design are truly of value to those who need them.

“Thank you for asking me about this. You made me feel brave enough to talk to my doctor about my pain issues.”
– 72-year-old SCAN member Dorothy

More Personalized, Less Complicated.

SCAN has always taken pride in our award-winning Member Service. As healthcare has become increasingly complex, we challenged ourselves to make it less complicated for our members. This is where technology has enabled us to step up our service game. The result is a healthcare experience that is more personalized and less complicated.

It’s more personalized because call technology connects each member directly with the team specially trained to work with the member’s medical group. It’s less complicated because our team runs interference with the medical group—tracking down authorizations, getting answers and generally ensuring all parties are on the same page. Our team members worked with The Ritz-Carlton Leadership Center, a legendary brand that fosters a culture known to follow every issue through to resolution.

We started rolling out this tech-based approach in January 2019, and members aren’t the only ones who’ve noticed. Our service team is thrilled to provide this added support for members. And our provider partners appreciate the collaboration on behalf of their patients.

“The question I hear most from the SCAN team is: ‘What else can we do for this member?’ I’m honored to have the opportunity to work with such a professional, caring team.”
Medical Group Patient Services Advocate

More to Celebrate!

SCAN Senior Advocates—SCAN members who are part-time SCAN employees—aim to call every member on their birthday. When we passed the 200,000-member mark early in 2019, however, making all those birthday calls became a challenge. So we invited employees from other departments to join the phone call brigade. Now more members are hearing “Happy Birthday,” and more employees are getting a personal reminder of who it is they work for every day.

“The first member I called told me that, even though she was bedridden, she was grateful for living another year. I was moved to tears by her story and took away something very special from our conversation: No matter what, be grateful and never take life for granted.”
– Christi Avila, Member Billing Representative (pictured)

In Celebration of

Centenarians

In 2019, there were over 80,000 centenarians living in America—and more than 300 of them were SCAN Health Plan members. The “stages: 100 over 100” campaign is a digital docuseries we created to shine the spotlight on some of these members.

SCAN Senior Advocates began making birthday visits in 2015, welcoming these members into the SCAN 100+ Club in person. Many times they are joined by family and friends. Other times it is our honor and great pleasure to be the ones to spend time with them on their special day.

As we schedule these visits, we ask if we can bring photographer Robert Duron along to document the event. More often than not, they’re thrilled to have us capture their milestone on film and are happy to share their insights.

We hope the “stages” campaign will inspire others to see what we see every day: the beauty, dignity and joy in aging.

SCAN Health Plan
March 31

Nellie is a retired nurse and in this video she shares how her motivation to serve others and her love of music inspired her life. And, at 104, she serves as an inspiration to us, too!

#SCAN100over100, #SCANHealthPlan, #California, #NorCal, #SoCal...See More


Robert Duron of Domain Photography has worked with SCAN for more than a decade. Our first collaboration involving centenarians was in 2012, an inspiring experience that led to the “stages: 100 over 100” campaign.

SCAN Health Plan
March 31

Ana turned 102 last year and despite feeling unwell, she refused to have her birthday party cancelled. Our Senior Advocates and photographer brought her gifts and a cake—and captured this sweet moment of Ana enjoying her milestone celebration!

#SCAN100over100, #SCANstages

SCAN Health Plan
March 31

“I look forward to opening my eyes every morning and taking on a new day—now that’s my idea of fun.” Pietje, 100

#SCAN100over100, #SCANstages, #California, #NorCal, #SoCal, #SouthernCalifornia, #LongBeach...See More

Providers

New Ideas to Improve Outcomes

SCAN works with a number of medical groups throughout our service area. Doing so gives our members a choice of doctors and providers, which we know they appreciate. The challenge is in ensuring a consistent quality experience among the groups that still allows for and encourages individuality. After all, these doctors and their staffs are the face of SCAN for our members. They know their communities, their patients and their challenges best. Listening to these experts enabled us to introduce several new approaches to care delivery in 2019, resulting in improved member outcomes and greater provider satisfaction.

PI Delivers Real Solutions

Since SCAN introduced Provider Integration (PI) in 2013, the program has brought together some of SCAN’s biggest and best-performing medical groups to collaborate to solve clinical and operational challenges. The goal then, as now, is to create a system that delivers high-quality care and service to senior patients. This unique environment, in which we’re sharing best practices and exploring new approaches, has set the stage for innovations that are improving care for our members, including using telehealth to expand access to mental health services.

PI FACT:

164,000 SCAN members, or nearly 80% of our total member population, are represented by groups participating in Provider Integration.

Behavioral Telehealth
Broadcast Hope

At one medical group in the Antelope Valley—a remote area where there are few mental health specialists—senior patients can now talk with a psychiatrist virtually. Appointments are held at their primary care doctor’s office, where they are familiar and comfortable, and, importantly, the technology is set up for them. Initial results are promising. Wait times for an appointment with a psychiatrist are down significantly, and so is the appointment no-show rate. We’re testing variations of this SCAN Group pilot with a few of our partner medical groups who have their own unique challenges delivering behavioral healthcare. By employing this technology more broadly, we can provide help and hope to seniors struggling with mental health issues.

“It’s helped me a lot just to know that [the psychiatrist] is available—that I’ve got someone to talk to if I can’t unscramble the depression on my own.”  
82-year-old SCAN member Loretta

HENRY

Age 100

“At 19, I served as security detail for the King and Queen of England under President Roosevelt, and you know what they had for lunch? Hot dogs!”

OST Grows by Popular Demand

In 2019, the Office Staff Training (OST) program continued to introduce the people on the front lines of caring for SCAN members—doctors and their staffs—to information and tools that can improve experiences and care for their older patients. This year, a new class, Improving Health Outcomes, was added to the roster of 22 mix-and-match courses available at no charge to the medical groups that serve SCAN members. In March, SCAN’s OST trainers once again shared their expertise in a Train-the-Trainer session. These popular, high-energy workshops give group management the tools and information they need to deliver or reinforce OST courses at their sites.

OFFICE STAFF TRAININGS | 2019

4,764 office staff members participated

498 physicians participated

43 Train-the-Trainer particpants

20 medical groups, representing 30% of SCAN's membership

147 classes held

Most popular course
HEAT: Maintaining Quality in Difficult Situations

“This training offered valuable perspective, and provided me with tools and insights to better assist my senior population.”   
– OST participant

Innovation at Work for Our Members

The best ideas are those that can benefit others. We are always on the lookout for ways to share successful ideas with our members and their caregivers.

COMMUNITY AGING IN PLACE – ADVANCING BETTER LIVING FOR ELDERS (CAPABLE)

Adapted from the program developed by the Johns Hopkins School of Nursing

For 83-year-old SCAN member Betty, walking had become so painful that it was hard for her to make her way around her Riverside home. Fortunately, SCAN is testing the CAPABLE program in Betty's medical group to address both the functional and medical issues that make it difficult for seniors to stay in their homes. With the help of "Team Betty"—SCAN social worker, an occupational therapist, and a home repair professional who installed a hand railing—Betty learned positive ways to manage her pain as well as exercises to build her strength, and she is now healthier and happier in her home.

Click the image to watch SCAN member Ana’s CAPABLE success story.

“The CAPABLE program is thinking outside the box; it shows us that small things can make a big difference.”  
Melissa Cruz, Occupational Therapist for SCAN CAPABLE

PERSON-CENTERED CARE APPROACH

Robert Wood Johnson Grant with the Center to Advance Consumer Partnership (CACP)

Founded by the Commonwealth Care Alliance, the Center to Advance Consumer Partnership (CACP) is looking to define a better way to serve individuals who have complex medical and social needs. It’s what we’ve been doing for more than 40 years—and we’re always looking for ways to do better. The CACP is bringing a comprehensive structure to the process that, importantly, ensures consumers—SCAN members—are part of the solution. The work began in Q4 of 2019 and will continue through 2020 alongside two of our provider partners.

“Through projects like CACP and CAPABLE, we are gaining a deeper understanding of members’ needs, and creating a system that helps members with complex conditions so they can safely age in place.”
Romilla Batra, MD, SCAN Chief Medical Officer

MARCELLA

Age 100

“I have no regrets about anything. I've lived a happy life”

Community

Extending Our Mission Beyond Our Membership

SCAN’s mission is to improve the lives of seniors, regardless of plan membership. By supporting our communities through funding, education and direct services, we’re able to help underserved seniors enjoy a better quality of life.

$14,118,000

Total amount SCAN spent on community services in 2019, including Independence at Home (IAH) and other community programs

17,723

Seniors and their caregivers served through IAH, whether connected to government programs, assisted via our resource and referral line, or provided direct services through one of our hallmark programs.

871

Events Sponsored by IAH to provide support, education and awareness, including health fairs and Trading Ages presentations.

7,182

Volunteer hours

2,091

Thanksgiving meals delivered

675

Volunteer events

617

Thanksgiving volunteers

Feeling connected to others is crucial to a senior’s emotional and physical well-being, and ultimately to their ability to stay in their homes. Last year, caring VAA volunteers made personal connections with hundreds of seniors, offering company, conversation and the reassurance that they’re valued members of the community.

PERSON-CENTERED CARE APPROACH

To help prepare a workforce that will be able to meet the requirements of a growing number of seniors, SCAN awarded $50,000 in scholarships to 10 students at Long Beach State University. Representing a number of different majors, all are committed to a career in the aging services field. In developing the scholarship program, we made sure that it included a service component to give these students real-life experience working with and caring for older adults.

Community Giving

$736,835

Total grants and sponsorships

SCAN Community Giving supports nonprofit organizations that deliver vital services to the most vulnerable seniors. In 2019 our giving included:

$200,000

Senior Support Service grants

$105,000

Emergancy Assistant grants

$250,000

Nutrition grants

$181,835

Donations and Sponsorships

Sharing Our Expertise Broadens Our Mission

We welcome opportunities to share what we’ve learned, wherever it can be a catalyst for advancing senior healthcare and improving the lives of older adults.

BEHAVIORAL HEALTH PROGRAM GETS A NOD

Good news is worth sharing! The Insights program, Independence at Home’s unique approach to behavioral health services, has helped improve mental healthcare for hundreds of isolated seniors and their caregivers. Insights brings licensed therapists to clients in their own homes, in their own languages and at no cost. The program was published in the July 2019 issue of the prestigious Journal of American Geriatrics Society.

The Insights program successes:

  • Lower rates of depression and anxiety
  • Improved quality of life
Authors of the Insights manuscript, from left: Gretchen Brown, SCAN Consultant; Denise Likar, Vice President, Independence at Home; Romilla Batra, MD, SCAN Chief Medical Officer; and Pedro Carbajal-Madrid, Clinical Director, Independence at Home

2019'S HOT TOPICS

SCAN executives and other staff shared knowledge, perspectives and expertise on a variety of topics at speaking engagements in 2019. Some of their most popular subjects: addressing social determinants of health, using technology to build empathy, and overcoming medication management challenges.

2019 speaking engagements included:

American Geriatrics Society
Annual Scientific Meeting

American Society on Aging
Aging in America Conference

America's Health Insurance Plans
Consumer & Digital Health Conference
National Conferences on Medicare, Medicaid
and Dual Eligibles

California Association of Long Term Care Medicine
Leadership & Management in Geriatrics
Annual Conference

Healthcare Leadership Council
Capitol Hill briefing

Special Needs Plans Alliance
Annual Forum

California Pharmacists Association
Western Pharmacy Exchange

TRADING AGES GOES VIRTUAL

Virtual reality (VR), the innovative technology best known for making video game fantasy seem real, now brings to life some of the all-too-real challenges many seniors face every day. In 2019, we rolled out an updated version of SCAN’s popular Trading Ages senior sensitivity training. It uses VR technology to immerse participants in real-life environments, situations and interactions that simulate impaired hearing, limited vision, memory loss and other age-related issues. It’s an up-close-and-personal experience that can give participants both insight and empathy, which informs how they serve and support seniors.

FIRST RESPONDERS LEARN BY TRADING AGES

All 400 or so Long Beach firefighters took part in Trading Ages at the end of 2019, marking the first time the program had been delivered on such a large scale. “We always try to connect with the people we are serving in any situation,” said Long Beach Fire Chief Xavier Espino. “With Trading Ages, our emergency response teams are coming away with important insight into some of the challenges seniors face, which will enable us to respond with even greater empathy.”

ROSE

Age 101

“I’ve had a good life. I’m thinking I’d like to start over and do it all again.”

SCAN is proud to support organizations that support our mission.

Members of our leadership team are actively involved with:

  • Academy of Managed Care Pharmacy
  • Alzheimer’s Orange County
  • America’s Health Insurance Plans
  • American Geriatrics Society
  • American Society on Aging
  • American Society of Health-System Pharmacists
  • Better Medicare Alliance
  • California Association of Health Plans
  • California Association of Long Term Care Medicine
  • California Quality Collaborative
  • Coalition to Promote Independence in Medicare
  • Compassionate Care Coalition of California
  • Congress of California Seniors
  • Healthcare Leadership Council
  • Industry Collaboration Effort
  • Institute for Healthcare Improvement
  • Long Beach Area Chamber of Commerce
  • Los Angeles Aging Advocacy Coalition
  • Multipurpose Senior Services Program Site Association
  • National Coalition on Health Care
  • Pharmacy Quality Alliance
  • SNP Alliance
  • St. Barnabas Senior Services

OFFICERS OF THE COMPANY


  • Sachin H. Jain, MD, MBA, FACP, President and Chief Executive Officer
  • Romilla Batra, MD, Chief Medical Officer
  • Josh Goode, Chief Information Officer
  • Janet Kornblatt, General Counsel
  • Nancy J. Monk, Chief Operations Officer
  • Sherry L. Stanislaw, General Manager, Officer

Executive management


  • Emily Arison, Corporate Vice President, Human Resources and Facilities
  • Hans Eckardt, Corporate Vice President, Marketing and Strategic Communications
  • Eve Gelb, Senior Vice President, Member and Community Health
  • Sharon K. Jhawar, PharmD, Chief Pharmacy Officer
  • Moon Leung, PhD, Senior Vice President, Chief Informatics Officer
  • David Milligan, Senior Vice President, National Sales
  • Adrienne Morrell, Senior Vice President, Public, Government and Community Affairs
  • Kathryn Qin, Corporate Vice President, Actuarial Services
  • Jill Selby, Corporate Vice President, Strategic Initiatives and Product Development
  • Andrew Whitelock, Chief Risk Executive

Board of Directors


  • Francesca Luzuriaga, Chairperson, Business Development Consultant
  • Andrew Allocco, Aetna Inc. (retired)
  • Colleen Cain, Co-founder and Former CEO, Benova, Inc. (retired)
  • Rosemary Ellis, Principal, AnderEllis LLC
  • Jennie Chin Hansen, Former CEO, American Geriatrics Society
  • Tom Higgins, Board Member and Former CEO, Prosetta Corporation
  • Cheryl Phillips, President and CEO, Special Needs Plans Alliance
  • Linda Rosenstock, MD, MPH, Professor of Health Policy & Management, Environmental Health Sciences and Medicine, University of California, Los Angeles
  • Ryan Trimble, Healthcare Consultant
  • Rosemary Turner, Retired President, UPS
  • Sachin H. Jain, MD, MBA, FACP, President and Chief Executive Officer, SCAN Group and SCAN Health Plan