LifePlans Inc. has been helping long-term care and health insurers, plans and providers manage risk through innovative, evidence-based solutions since 1987. Our industry leading services drive demonstrated improvements in health outcomes and business performance. 

For 25 years we have been developing, managing and deploying a National Clinical Network of over 4,000 nurses for clinical interventions:

Underwriting and benefit eligibility determinations:

•Care coordination 
•Fall prevention 
•Care transitions programs to reduce hospital readmissions 

We deploy our telephonic assessment and call center capabilities to: 

•Underwrite and determine claim eligibility with telephonic assessments 
•Conduct health risk assessments in accordance with Centers for Medicare and Medicaid   requirements 
•Welcome and enroll members, verify services, and provide new initiative member outreach calls 
•Coordinate and manage ongoing care 
•Conduct market surveys 

Our sophisticated analytic capabilities include
•Risk Classification algorithms and analytic reporting 
•Research with government and industry to affect health policy 
•Development of research design to estimate ROI impact of clinical interventions 

LifePlans is dedicated to providing the highest quality data and solutions to our clients. We clinically review 100% of our in-person assessments, evaluate and train clinical staff and employ an internal QA team dedicated to identifying and analyzing performance trends and issues.

EQUAL OPPORTUNITY EMPLOYER: LifePlans is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, gender, religion, national origin, disability, veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other class protected by federal or state law (EEO/AA).

Health Insurance

Nursing & Residential Care

LifePlans, Inc.

LifePlans, Inc.'s headquarters in United States

Gary Guiser

Kathleen Cahill

The Nursing Assessors team at LifePlans, Inc. is responsible for conducting telephonic assessments to evaluate client health needs and determine eligibility for benefits. Using their clinical expertise, the team coordinates care plans, performs health risk assessments, and carries out quality assurance of in-person assessments. Their efforts are pivotal in enhancing care coordination and improving overall health outcomes for members, while ensuring compliance with regulatory standards.

Nursing Assessors

The Assessment Services Team at LifePlans, Inc. is responsible for conducting comprehensive telephonic and in-person assessments to evaluate health status and determine eligibility for long-term care insurance claims. This team, which includes claims examiners and various assessors, ensures accurate underwriting and manages care coordination while adhering to regulatory requirements. They also play a vital role in quality assurance by clinically reviewing assessments and analyzing performance trends to enhance client service and outcomes.

Assessment Services Team

This department manages the recruitment, assessment, and deployment of nursing professionals to support healthcare operations.

Nursing Services

This department is responsible for evaluating patient needs and coordinating care through nursing assessments.

LifePlans, Inc.

Org chart

Teams

Nursing Assessors

Assessment Services Team

Nursing Services

Nursing and Assessment

Offices

LifePlans, Inc.

Org chart

Teams

Nursing Assessors

Assessment Services Team

Nursing Services

Nursing and Assessment

Offices

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