Executive Briefing · Medicaid & Medicare Plan Leadership

Your rates are set. Your network is contracted. Your members are the margin.

Every lever still open on a payer P&L runs through the member: whether they choose you, stay with you, show up prepared, trend below the capitation rate — and whether the communities you serve staff your workforce. The Force for Health® Network operationalizes that layer under your brand, and reports it in the language your board reads: MLR, retention, Stars, and staffing spend.

$15–25M
modeled annual margin lift per 1% MLR improvement on a $1.5–2.5B capitated book
$6M+
modeled annual revenue protected per 1,000 adult Medicaid members retained
10–25%
targeted agency-staffing offset via community-grown workforce pipelines
5 states
Arizona live · Pennsylvania, Indiana, South Carolina & Maryland conversations underway
Physician-founded & clinically led
White-label ready under your plan's brand
HIPAA-aware, FERPA/COPPA-compliant design
Live statewide infrastructure in Arizona

Five Levers. One Partnership.

Each lever lands on a line your CFO already reports: capitation revenue, medical-loss ratio, staffing spend, quality scores, member churn. Every chair at your executive table gets one.

Executive Impact

One command center your C-suite and board actually use

Every FFH partnership ships with an executive command center: capitation revenue, engagement, workforce conversion, quality trajectory, and community-benefit documentation fused into a single live view. Your CEO, CFO, CMO, and CHRO stop reconciling five vendor decks and start steering from the same picture.

  • Board-ready dashboards — population engagement tied to plan economics
  • Community-benefit hours documented for IRS Schedule H and state reporting
  • Departmental views for member health, growth, workforce, and compliance teams
Schedule H
Community-benefit documentation captured automatically as members engage — board- and regulator-ready.
Who this helps inside your plan
CEO & BoardCFO / FinanceStrategyCompliance
Overall Cost-Reduction Outcomes

Move the MLR needle with behavior, not just benefits

Prevention behavior is the cheapest medical management there is. The 360° Health Academy, prevention challenges, condition-specific game series, and the Live It / Learn It / Share It rewards economy convert enrolled members into activated members — with the highest-cost cohorts (duals, SSI, expansion adults) as the priority targets.

  • Every 1% of MLR improvement is recurring margin — $15–25M/yr on a typical large Medicaid book
  • SDOH activation that feeds your HRSN and in-lieu-of-services strategies
  • Utilization-shifting engagement aimed at avoidable ED visits and no-show rates
1% MLR = $15–25M
Recurring annual margin from engagement-driven prevention and utilization shift.
Who this helps inside your plan
CMO / Medical MgmtCare ManagementQualityPopulation Health
Workforce Development

Grow your next hires from your own membership

Your HR stack sources candidates; it doesn't create them. FFH's workforce pipeline converts engaged members, students, and community ambassadors into MAs, CHWs, phlebotomists, and allied-health hires — mission-aligned people from the neighborhoods you serve, flowing straight into your existing recruiting systems.

  • 10–25% agency-staffing offset targeted over 24 months — the largest workforce dollar you spend
  • Career pathways from middle school to hire, with scholarship rails attached
  • Lower first-year attrition — local, mission-aligned hires stay
10–25%
Targeted agency-staffing offset over 24 months via community-grown pipelines.
Who this helps inside your plan
CHRO / HRTalent AcquisitionClinical OpsDEI & Community
Prepared Patients & Satisfaction

Members who show up prepared — and rate you higher

The Prepared Patient is the FFH signature: members who know their numbers, their questions, and their next steps before the visit. Health-literacy programming hosted by Dr. Rob and Coach Lucy turns confusion into confidence — and confident members score their plan higher on every survey that matters.

  • CAHPS and Star Rating lift through member-experience fundamentals
  • Shorter, more productive visits your network providers will feel
  • Multilingual, meet-them-where-they-are content across web, mobile, and community events
CAHPS & Stars
Member-experience fundamentals that show up in the surveys your revenue depends on.
Who this helps inside your plan
Member ExperienceQuality / StarsProvider RelationsHealth Equity
Growth Through Community Outreach & Marketing

The trusted local voice plan marketing rules won't let you buy

During open-choice windows and AEP, members pick the plan their community talks about. FFH's omni-media engine — community campaigns, Chambers of Health, local ambassador networks, video series, and co-branded academies — builds authentic brand presence between enrollment windows, so growth compounds instead of resetting every cycle.

  • Net member growth during open-choice, transition, and AEP windows
  • Churn defense — every 1,000 retained adult members protects $6M+ in annual capitation
  • Co-branded, compliant community campaigns that live outside your four walls
1,000 = $6.4M
Annual capitation protected by retaining 1,000 adult members who would otherwise churn.
Who this helps inside your plan
Marketing & GrowthEnrollmentCommunity RelationsGovernment Affairs

One platform, every department. Most vendors sell to one budget line. FFH gives your CEO, CFO, CMO, CHRO, and growth, quality, and community teams a shared engine — which is why the partnership survives budget season.

The math your CFO will run anyway

Illustrative economics for a large Medicaid managed-care book. We'll model your actual membership mix in the first briefing — bring your enrollment counts, we'll bring the engine.

$1.5–2.5B
Typical annual capitation pool for a two-region Medicaid plan — every lever below works against this base.
1% MLR = $15–25M
Recurring annual margin from engagement-driven prevention and utilization shift.
1,000 members = $6.4M
Annual capitation protected by retaining 1,000 adult members who would otherwise churn.
3–5× SaaS spend
What agency & travel staffing typically costs versus your software stack — the pipeline FFH builds attacks it directly.

Figures are modeled illustrations based on published state capitation rate books and industry staffing benchmarks; they are planning references, not guarantees. Plan-specific projections are built jointly during scoping.

Where we're building

Arizona is live infrastructure. Four more states are at the table — and the platform is built to white-label for any state's Medicaid and Medicare market.

🌵

Arizona

Live

Statewide network infrastructure: white-label plan academy builds, the My Healthy Arizona community layer, Chambers of Health, rural health outreach, and workforce pipeline programs aligned to AHCCCS priorities.

🔔

Pennsylvania

In Conversation

Legislative and state-leader conversations underway, backed by the My Healthy PA program and FFH's rural health work across the Commonwealth — workforce pathways, health literacy, and community outreach.

🏁

Indiana

In Conversation

State-leader conversations underway. Ready to localize: a My Healthy Indiana community layer, plan-branded academies, and workforce pathways tuned to Indiana's Medicaid managed-care landscape.

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South Carolina

In Conversation

State-leader conversations underway, building on existing FFH community-health partnerships in the region — rural outreach, health literacy, and community-grown workforce development.

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Maryland

In Conversation

State-leader conversations underway. The model fits Maryland's all-payer innovation culture: population-level engagement, prepared-patient programming, and measurable community outcomes.

For State Medicaid & Health Leaders

The same engine that serves one plan can serve a whole state. FFH deploys as neutral, statewide population-health infrastructure — every plan, every county, one scoreboard — priced by population, not by seat.

  • Waiver & HRSN alignment — engagement and SDOH-activation programming that plugs into 1115 demonstration and in-lieu-of-services strategies
  • County-level intelligence — the PHIT Scorecard aggregates community health signals your agencies can actually act on
  • Workforce match-funding ready — pipelines structured to qualify for federal and state workforce-development dollars
  • Rural reach — a proven rural health tour and community ambassador model for the counties hardest to serve
Request a State Briefing →

How a state engagement starts

1
30-minute briefing. We bring county-level data for your state; you bring the agencies and plans you want at the table.
2
30 days. Scoped baseline: population priorities, plan partners, workforce gaps, funding pathways.
3
90 days. First community deployment live under state or plan branding, with the scoreboard running.
4
6 months. First measurable outcome report — engagement, literacy, pipeline, and cost-trend indicators.

Start with a 30-minute executive briefing.

We'll model the five levers against your actual membership mix — enrollment, MLR, staffing spend, and quality position. You'll leave with numbers, not adjectives.

Request a Briefing →

Common questions

Quick answers for plan and state teams.

Does FFH replace anything in our existing stack?
No — and that's deliberate. FFH is the community-engagement and workforce-creation layer your HCM, credentialing, survey, and analytics tools have always assumed exists. We feed warm candidates into your recruiting systems, engaged members into your care-management programs, and cleaner community data into your population-health analytics. You keep the spine; we reduce the leakage.
How does white-labeling work?
Your members see your plan's brand: a plan-branded health academy, rewards, trackers, and community campaigns, running on FFH network infrastructure. Deployment starts with a branded academy build and expands module by module — awareness, engagement, workforce, and executive insights.
What about compliance and member data?
The platform is designed around anonymous, opt-in engagement signals — no claims data or PHI is required to start, and community intelligence is aggregated, never user-attributed. BAA-governed integrations are scoped only where a use case requires them, alongside your compliance team.
How fast can a plan launch?
A branded academy and community campaign can be live in 30–60 days. Workforce pipeline and executive command-center layers phase in over the first two quarters. We move at the speed of your brand and compliance reviews — the platform is already built.
What does it cost?
Pricing is population-based and modular — a single-region plan academy is a very different footprint from a statewide multi-plan deployment. Briefing and joint modeling are free; you'll see the cost next to the levers it moves before you're asked to decide anything.

Your members. Your brand. Our engine.

Five levers, one partnership: executive clarity, cost-trend relief, a workforce pipeline, prepared patients, and growth that compounds between enrollment windows. Let's model it against your book.

Request an Executive Briefing →
Prefer a working session for your leadership team? Email lucy@theforceforhealth.com.