Belong is willing to co-invest and share SNP product line risk 50/50 with our plan partners pending functional responsibilities. We are willing to take on your entire population or just a subset.

The primary differences for D-SNP depend on state-specific Medicaid benefits and eligibility, and D-SNP integration policy. Since Medicare functions as the primary insurance, products in each state require deep knowledge of Medicaid benefits for different eligibility statuses to optimize coverage for members. Some states require minimal data sharing between D-SNP and Medicaid while some require fully integrated products, meaning members have one card for all their benefits. Other states still have medicare/medicaid demonstration products or don’t have D-SNP at all.

The D-SNP demonstrates a wide range of physical, behavioral and social needs, but is highly heterogeneous. CMS requirements are significantly greater, especially for care management, support and quality. Most notably, D-SNPs must receive NCQA approval for their Model of Care, which must be strictly adhered to for each member. D-SNPs also must hold a contract with their state medicaid agency for coordination/integration processes, financial obligations, dual eligibility statuses, among other items.

We integrate care management with our customer service team to provide greater integration for the member. This integration extends to clinical, behavioral and social support that are local to your plan, ensuring we understand the underlying needs of your community.

Additionally, we have built Belong Medical Group to address gaps in care found in different communities. For example, our Mental Health Connector program identifies members who may have unaddressed mental health needs and provides them a mental health provider while we work with their PCP and specialists to determine how best to provide longitudinal mental health services.

Belong's integrated technology solution was developed with member in mind. We start with a sophisticated Salesforce integration sales/marketing, and care management platforms to increase efficiency​, facilitate compliance​, and enhance reporting. We combine that with your current tech stack, or custom build based on Belong's Orchestration Platform that ingests data from dozens of sources, and manages that data for seamless integration with a member's portal, care management, and business intelligence reporting. This allows us to get up and running in less than half the time typically required (4 months vs. 9 months). Regardless of approach, we ensure the tech platform adheres to regulatory and compliance requirements. 

Belong Health partners with regional and Blues health plans to design, launch, and operate turnkey C‑SNPs. Our Enablement Model covers 70% of implementation and assumes up to 50% financial risk. The Belong Connect platform powers real‑time insights and AI‑driven workflows to reduce manual tasks by over 30%. Across partnerships, Belong‑supported SNPs have achieved double‑digit MLR reductions, 12% fewer readmissions, and 15% higher comprehensive visit rates.

About 20% of C‑SNP members are dually eligible for Medicare and Medicaid or LIS. Given state restrictions on D-SNP participation, many national plans use C‑SNPs to serve duals (~90% of duals have a C-SNP qualifying condition). These plans often include enhanced social supports such as meal programs, companion services, and zero‑dollar copays to address social determinants of health that are only available through SSBCI as of 2026.

Diabetes, CHF, cardiovascular disorders, chronic lung disease, stroke, ESRD, HIV/AIDS, chronic liver disease, autoimmune disorders, and cancer

C-SNPs require dedicated care coordination, condition-specific benefits, specialized provider networks, and feature SSBCI benefits.

CMS-requires NCQA approval of the Model of Care for how C-SNPs will manage chronic conditions

Yes—in fact, most Medicare beneficiaries with chronic conditions have 2+ conditions and the most popular C-SNP plan designs include multiple chronic conditions

Doctor verification within 60 days of enrollment

"The Chronic Care Challenge" for most health plans includes:

• High hospitalization rates among chronic condition patients due to lack of coordinated careMedication non-adherence affecting 50% of chronic disease patients
• Care fragmentation between multiple specialists, PCPs, and behavioral health providers
• Social determinants like food insecurity and transportation that directly impact chronic disease outcomes

Chronic conditions have contributed to the increase in utilization and overall medical cost trend that has multiple health plan questioning the viability of their Medicare Advantage business.