Medicaid plans face unique challenges, but the fundamental goal of providing cost-effective, quality care remains. The only Medicaid-specific solution on the market, MedeAnalytics Medicaid Management offers data insight to identify cost drivers, monitor utilization programs, and evaluate physician performance—while improving collaboration in policy decision-making.
Employer Reporting provides collaborative, high-tech tools and reporting that inspire more efficient and better-utilized benefits plans. With unprecedented transparency, health plans can aggregate, analyze and share plan-use analytics with employer groups as well as analyze the plan’s total population internally.
Medical & Medicaid Management helps you identify critical patterns and correlations that reveal exactly where to find savings. By pinpointing areas to take strategic action, mitigate catastrophic claims and promote better health, health plan staff gain an improved understanding of cost and quality drivers and at-risk populations—fully equipping them to steer quality, timely care toward their highest cost members.
Population Health reveals the clinical opportunities that lead to healthier populations. Integrating claims, clinical and provider data, it enables health plans and providers to collaboratively deliver on the promise of risk- and value-based contracts.
Our Provider Engagement solution brings a whole new level of transparency to the relationship between health plans and providers. By giving a critical view into the claims life cycle, provider networks and value-based contracts, health plans can collaborate with providers to identify the root causes of underperformance, and pinpoint what’s driving high-performing partners as well. Not only does that mean fewer appeals and errors, it means greater member satisfaction and more transparent provider relationships.