Mom and daughter walking on beach

ActiveHealth awarded Direct Contracting Entity by CMS

November 2020

Serious illnesses take a toll on patients, their families and caregivers. It’s a confusing and emotional time, often involves navigating multiple providers and results in higher health care utilization and costs. It creates challenges for families, caregivers and providers too. High-need patients with serious chronic illnesses such as heart failure, cancer, or end-stage kidney disease require time and resources to manage.

The Centers for Medicare and Medicaid Services (CMS) has introduced new value-based payment models to address some of these challenges. They recently awarded Direct Contracting Entities (DCEs) to a select group of organizations focused exclusively on serving high-need Medicare beneficiaries.

ActiveHealth is proud to have been awarded a Direct Contracting Entity (DCE) to serve high-need patients and their families. During the first performance year, we’ll be collaborating with hospice, palliative care and home-based primary care providers in Florida, New York and Illinois. View the DCE Provider Partners

The Direct Contracting program for high-need Medicare beneficiaries will offer the following enhanced services:

  • Advocacy-driven care coordination
  • Help from a specialized interdisciplinary team
  • Health education and care planning support
  • 24/7 support for patients, families and caregivers
  • Referrals to community resources

About: ActiveHealth is a payor-agnostic care management and well-being solutions provider with over 20 years of experience and 20 million+ lives under management. ActiveHealth specializes in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral and social challenges. As a result, ActiveHealth is uniquely positioned to meaningfully improve health outcomes and costs.

Patient talking with doctor

Return to care. A message from Dr. Jonathan Rubens, Chief Medical Officer

Return to care. A message from Dr. Jonathan Rubens, Chief Medical Officer

The vacation season is over – which means it’s time to go back to work, back to school and back to care. When the pandemic first hit, we locked down and stayed safe at home. Many of us delayed or cancelled needed health care. Read a message from ActiveHealth Chief Medical Officer Dr. Jonathan Rubens about taking care of ourselves as we switch gears into the fall season.

Doctor assisting woman in a wheelchair

Maximizing serious illness support through intensive care management

Maximizing serious illness support through intensive care management

Patients with complex and serious illness require more intense specialized care. The Center for Medicare and Medicaid Innovation (CMMI) is working to lower costs for these patients while improving care quality.

CMMI is creating opportunities for alternative payment models to care for individuals with Serious Illness through Primary Care First and Direct Contracting. This is an opportunity for you to add new revenue streams with potential for quality-based bonuses. ActiveHealth Management can make it simple for you to participate.

Let’s work together to:

  • Improve the health care experience for your patients
  • Reduce financial risk while improving quality of care
  • Maximize your revenue with a care management partner with proven outcomes

Contact us at 855-217-9301 to learn more about our Serious Illness program.


Man getting ready to go for a run

How to create a sustainable wellness program

How to create a sustainable wellness program

Successful wellness programs keep people at the center. In our guide, you’ll learn how data can cut through one size fits all health programs to drive personalized wellness experiences. This person-centric approach can help reduce costs, boost workforce productivity and create a healthier culture overall. Learn how to build a successful wellness program, and track your success using our 7 key metrics. Get started today.

Nurse helping patient in a hospital.

Webinar, July 14, 2020: Maximizing serious illness support through intensive care management

Medicare Fee-for-Service beneficiaries with serious illness make up less than 10% of the population, but they incur a third of total Medicare cost. Join our AHIP webinar (July 14, 1pm-2pm ET) to hear from ActiveHealth about how a comprehensive care management model can help patients with serious illnesses. Register today to learn more.


A message from Dr. Johnathan Ruben, Chief Medical Officer

A message from Dr. Jonathan Ruben, Chief Medical Officer

According to a recent poll, 45% of American adults say that daily worry and stress have taken a toll on their mental health.1

So, now more than ever, it’s important to create a safe environment for people to admit that they’re struggling and then connect them with support services that can help.

Read this letter from Dr. Jonathan Ruben, Chief Medical Officer at ActiveHealth, and learn how we reach out to members during these challenging times.


1 Kaiser Family Foundation. Panchal N, Kamal R, OrgeraK, et al. The Implications of COVID-19 for Mental Health and Substance Use. April 21, 2020. Available at May 19, 2020.



ActiveHealth Management Receives Case Management Accreditation

Case Management Program Supports Patient-Centric Care Coordination for Individuals with Complex Health Care Needs

NEW YORK, NY, February 17, 2015ActiveHealth Management (ActiveHealth®)announced today that its case management program received three-year Case Management Accreditation from the National Committee for Quality Assurance (NCQA). Earning NCQA’s Case Management Accreditation is an indication that a case management program is dedicated to care coordination, patient-centeredness and supporting improved quality of care: helping patients get the right care.

“Case Management Accreditation moves us closer to measuring quality across population health management initiatives,” said Margaret E. O’Kane, president, NCQA. “Not only does it add value to existing quality improvement efforts; it also demonstrates an organization’s commitment to the highest degree of improving the quality of their patients’ care.”

“ActiveHealth is deeply committed to making a positive impact on the health and care of our members, especially those with complex needs,” said Richard Noffsinger, CEO and president of ActiveHealth. “We hold our case management program to the highest quality standards to deliver the best possible experience for those individuals, and we are thrilled that the NCQA has recognized that commitment to quality with this accreditation.”

NCQA Accreditation standards are developed with input from researchers in the field, the Case Management Expert Panel and standing committees, employers, both purchasers and operators of case management programs, state and federal regulators and other experts.

About the National Committee for Quality Assurance

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

About ActiveHealth Management

ActiveHealth Management empowers better health and wellness. Our integrated population health management solutions are designed to help our customers improve health outcomes and lower medical costs. Our data analytics, evidence-based clinical decision support and targeted health and wellness programs help health plans, employers, state and local governments, and physicians engage at-risk individuals, promote better care coordination and enable sustainable health care models. Founded in 1998 and headquartered in New York City, ActiveHealth is an independent subsidiary of Aetna (NYSE: AET). To learn more, visit




Mary Mooney
ActiveHealth Management