Anchor is the evidence layer for non-medical benefit execution, capturing how benefit dollars are deployed across programs. A complete, auditable record tied to quality, compliance, and financial performance.
Sequence benefits to the right funding source. Capture execution events in a continuously updated ledger. 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
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.
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, sequenced in real time so Medicaid pays last.
A continuously updated record of how benefit dollars are actually used. Execution is tracked where data is available, including what was authorized, delivered, delayed or failed, which funding source paid, and how much cap remains.
Applies benefit limits and funding hierarchy across programs at the point of orchestration, preventing duplication, leakage, and downstream rework.
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.
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.
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 the substantiation requirements for each benefit class, so every execution event is captured 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.
Each execution event carries source, timestamp, actor, and corroboration. The output is not a confidence score. It 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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If you have any questions about this Privacy Policy, please contact us through our website.
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.
We are committed to achieving SOC 2 Type II compliance and are working toward HiTrust certification to further demonstrate our security posture.
For questions about security, compliance, or data handling, please contact our Trust & Security team at security@anchorcare.ai.