FOR Health Plans
Community Integrated Care for High Needs Medicaid and Duals Members
At Pair Team, we partner with health plans to deliver dedicated, concierge social care navigation that reduces costs and improves quality for high-needs populations. Our approach is designed to engage hard-to-reach members by addressing their medical, behavioral, and social needs through long-lasting, trusted relationships.

Why Health Plans Choose Pair Team: 
  • Dedicated Social Care: We provide personalized, ongoing assistance—supporting patients every step of the way rather than simply submitting referrals.
  • Community Care Hub: By equipping shelters, pantries, and other community partners with operational support and technology, we seamlessly connect patients to vital resources.
  • Multidisciplinary & Scalable: Our NP-led virtual primary care teams work alongside nurses, social workers, and community health workers to deliver comprehensive, whole-person care.

Demonstrated Impact

Member Story: From Crisis Care to Stability

Maria, a single mother and former agricultural worker, had long struggled with chronic pain, unmanaged hypertension, and frequent emergency room visits. With limited access to primary care and no stable housing, she often turned to the ER as her only option for relief.Her turning point came during a visit to a local food pantry, where she was referred to Pair Team.

After consenting to join the program, Maria was connected with a dedicated Community Health Worker, who helped her navigate housing resources, enroll in chronic care services, and access pain management support. Pair Team’s care team coordinated her medical appointments, provided transportation, and addressed her mental health needs, including screening and treatment for depression.

Result: Maria experienced 60% fewer ER visits, a notable improvement in her PHQ-9 score, and significant progress in managing her hypertension. Today, she is on a path to stability and better health, supported by a care team that continues to advocate for her every step of the way.

Join the Pair Impact Network. Contact us to get started.