Anchor is the evidence layer for non-medical benefit execution, orchestrating how benefit dollars flow across Medicare, Medicaid, and community services. A complete, auditable record tied to quality, compliance, and financial performance.
Match authorizations to delivery, funding source, and settlement evidence. Surface the gaps where data does not flow. Sequence benefits to the correct payer of first resort. Produce audit-ready evidence tied to Star, CAHPS, and retention outcomes.
Built for Medicare Advantage plans serving dual-eligible members
System of Record • Non-Medical Benefit Execution
For dual-eligible members, benefits flow through multiple funding sources and dozens of vendors, each with its own portal, data format, and reporting cadence. The plan authorizes the benefit. What happens after that is largely invisible.
With CMS HCBS quality reporting requirements beginning for MFP grantee states in September 2026, the execution gap is now a compliance gap.
Anchor is the system of record for non-medical benefit execution across Medicare, Medicaid, and community services. One layer that governs spend, captures evidence, and connects execution to quality and financial performance.
Anchor is the system of record that governs how non-medical benefits are executed across payers, providers, and programs. Four components, one integrated evidence layer.
A member-level record of how benefit dollars are actually used. Anchor matches authorizations to delivery events, funding sources, and settlement evidence where data flows, surfaces the gaps where it does not, and produces the evidence trail a CMS auditor or state Medicaid agency requires.
Routes benefits to the correct program and funding source based on eligibility, timing, and payer-of-first-resort rules. Plan supplemental, SSBCI, ILOS, and Medicaid LTSS, each sequenced to the correct payer of first resort based on benefit type, member eligibility, and state-specific rules. Medicaid remains last-payer where federal rules require it, and primary where LTSS obligations dictate.
Exposes which benefits are available, what caps remain, and which funding source applies, giving care managers and plan operations a clear picture at the point of orchestration.
Connects benefit execution to Star, CAHPS, readmissions, retention, and total cost of care. Produces audit-ready evidence on demand.
Anchor is the evidence layer. The plan remains the decision-maker of record; care management retains human-in-the-loop approval.
Anchor is not a CBO network, a care management platform, an SDOH referral system, or a benefit administration vendor. It is the evidence layer that sits beneath them, the reconciled record of what was authorized, delivered, attributed, and substantiated.
Plans do not lack benefits. They lack a system to manage how those benefits perform. When execution is governed and measured, every part of the plan benefits: retention, quality performance, care management, and the data that informs the next bid.
Benefit spend becomes measurable, attributable, and defensible. Anchor quantifies leakage, surfaces clawback exposure from misattributed supplemental spend, and produces the audit-ready documentation Star measure appeals and state LTSS audits require. The finance and compliance functions gain a system of record for benefit dollars that currently live in reconciliation spreadsheets.
When benefits arrive as promised, members engage more, stay longer, and recommend the plan. Anchor keeps execution consistent so every member feels the plan working for them, strengthening satisfaction, loyalty, and CAHPS performance.
Care managers stop chasing vendors, hunting for delivery confirmation, and reconciling spreadsheets. Anchor gives the team a single view of what was authorized, delivered, delayed, or failed.
Verified delivery and documentation of non-medical benefits strengthens the quality measures tied to Star Ratings, CAHPS, and HOS, with an evidence trail that holds up to NCQA and CMS review.
Time-to-delivery, gap rates, and vendor performance measured across populations. Plans refine bids and benefit design with real execution data instead of assumptions.
Anchor creates a system of record for how non-medical benefit dollars are actually used across Medicare and Medicaid.
Anchor's moat is a library of validated substantiation profiles: one per plan, per state, per county, per benefit class. The profile is the exact record a CMS or NCQA auditor accepts as evidence for how that benefit was executed and substantiated.
A $25 flex-card purchase and a $3,200 ILOS tenancy support need different evidence standards. Anchor codifies substantiation requirements by benefit class, so the execution events Anchor captures are held in a form the plan can defend.
Every plan, state, county, and benefit class we onboard strengthens the library. Sequencing logic, cap rules, vendor signals, and evidence standards compound. No single plan sees enough variation to build this alone.
Captured execution events carry source, timestamp, actor, and corroboration. The output is a case file that survives a CMS program audit, an NCQA file review, or a state Medicaid audit.
Time-to-delivery, gap rates, vendor performance, and sequencing outcomes, all benchmarked across the network. Plans use the data to improve bids, renegotiate vendors, and defend execution to CMS.
We’ll build a sample substantiation profile tailored to your plan, one of your states, and a specific benefit class. Our team walks you through what the record contains and how it holds up to a program audit.
Anchor produces the record your operations, compliance, and CMS reporting already assume exists.
Request a DemoAnchor Care, Inc. ("Anchor", "we", "us", or "our") operates the Anchor website and platform (collectively, the "Service"). This page informs you of our policies regarding the collection, use, and disclosure of personal data when you use our Service.
We collect information for various purposes to provide and improve our Service, including data you provide to us (such as contact information), data collected automatically (such as usage patterns), and data from third parties (such as analytics providers).
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Anchor is committed to maintaining the highest standards of security and compliance. We implement multiple layers of protection to ensure your data is safe, including encryption, access controls, and regular security audits.
All data is handled in accordance with HIPAA, state and federal privacy laws, and industry best practices. We maintain strict policies around data access, retention, and deletion.
SOC 2 Type I targeted Q2 2026. SOC 2 Type II targeted Q4 2026. HITRUST r2 certification is on our 2027 roadmap. Anchor operates under HIPAA-compliant data handling practices with encryption in transit and at rest, role-based access controls, and annual third-party security review.
For questions about security, compliance, or data handling, please contact our Trust & Security team at security@anchorcare.ai.