For health plans & ACOs
Behavioral health access for the Medicare 65+ population, at scale.
Total Life is a national, Medicare-credentialed therapy network built exclusively for older adults. Designed for the quality measures and cost-of-care goals your plan is held to.
Licensed clinicians in 50 states. Sessions by phone or video. Symptom-scale outcomes reported back at the plan level.
Why plans choose Total Life as their late-life behavioral partner.
Built for the Medicare 65+ population
Total Life serves only adults 65 and older. Every clinician, every workflow, every outcome metric is tuned to late-life mental health. Your members don't get matched with a generalist who happens to take Medicare.
Quality measures your plan reports on
Engagement with behavioral health services is tied directly to STAR Ratings and several HEDIS measures, including AMM, FUH, and depression follow-up. We share data back at the plan level under data-sharing agreements.
Lowers total cost of care
Untreated depression and anxiety in older adults drive measurable increases in ED visits, polypharmacy, and avoidable inpatient days. Bringing behavioral health to the member's home addresses each upstream.
Partnership models
Three ways plans typically engage.
01
Network expansion
Total Life therapists join your Medicare Advantage behavioral health network. Members access care directly through their existing benefits with no additional eligibility step.
02
Co-managed care
Total Life clinicians work alongside your care management team for members flagged through stratification (PHQ-9 scoring at AWV, post-hospitalization follow-up, chronic-care management cohorts).
03
Value-based arrangement
Risk-sharing or quality-bonus structures tied to engagement, symptom-scale change, and downstream utilization. Designed with your actuarial and quality teams.
Quality measures
Built around the measures your plan reports on.
Total Life’s clinical operations are designed with behavioral health quality measurement in mind. Engagement, follow-up, and symptom-change data are tracked and reportable at the plan level.
- ·STAR Ratings (Part C measures: Members Receiving Mental Health Care, Care Coordination)
- ·HEDIS AMM (Antidepressant Medication Management), therapy adherence support
- ·HEDIS FUH (Follow-up after Hospitalization for Mental Illness), 7- and 30-day touchpoints
- ·HEDIS DSF-E / DRR-E (Depression Screening Follow-up / Remission)
- ·CAHPS member experience scores tied to access and care coordination
Total cost of care
Untreated depression and anxiety in older adults are expensive upstream of behavioral health.
Independent literature consistently associates untreated late-life depression and anxiety with measurable increases in ED visits, polypharmacy, falls, and avoidable inpatient days. Treating the behavioral driver moves utilization in the medical line.
Plan-specific cost-of-care modeling is run jointly with your actuarial team during partnership scoping.
We don’t publish a single national ROI figure. The math is real but it depends on your population mix, baseline utilization, and which measures you’re prioritizing. We’ll model yours with you.
Let’s talk about your Medicare members.
A first call covers your population, the quality measures you’re prioritizing, and what a partnership model could look like for your plan.
Request a partnership conversation