Medicaid Enterprise Analytics

Improving health management for your most at-risk members

With razor-thin margins on reimbursements and more value-based care at-risk contracts, health plans are clamoring for new and innovative ways to address the health of growing Medicaid populations. By mining insights from claim and clinical data, MedeAnalytics provides the foundation for managed care plans and agencies to collaborate and help deliver better outcomes to underserved populations.

Applying data to create person-centered care

Challenge
Solution

Lack of insight into actual impact of social determinants of health within membership limits efficacy of value-based care

Challenge
Solution

Disjointed data sources hinder understanding of member utilization trends and program outcomes

 

Challenge
Solution

Basic, low-detail view of member health statuses and population patterns stunts plan expansion

 

Analytics in action

Medicaid Enterprise Analytics delivers key insights into Medicaid beneficiary data, enabling health plans to understand cost drivers, gaps in care, and demographic and SDOH impact to improve care outcomes.​

Explore a few key features by hovering over the images below.

High Cost Claimants
MEA-High Cost Claimants

Identify high-cost claimants to prioritize for care management 

MCO Overview
Behavioral Health
Maternal Health
Quality Payment Plan

Dive deeper into Medicaid Enterprise Analytics

Download the data sheet to see how Medicaid Enterprise Analytics integrates traditionally disparate data sources to provide the visibility and transparency health plans need to holistically manage member care.

Get our take on industry trends

The Medicare Advantage Retention Gap

The Medicare Advantage retention gap: Turning member experience into a growth strategy 

August 9, 2026

Growth in Medicare Advantage has become increasingly difficult to sustain. Acquisition costs are rising, competition is intensifying, and members are…

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Renewal Season Is Here. Are You Defending Premiums or Demonstrating Performance?

July 30, 2026

Employer healthcare analytics help health plans improve employer group performance Every renewal season, health plans meet with employers to discuss…

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Beyond the Recalculation: Building Better Star Performance 

July 28, 2026

The decision by the Centers for Medicare & Medicaid Services (CMS) to recalculate certain Medicare Advantage Star Ratings has generated…

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Beyond care gap closure: Rethinking clinical strategy in Medicare Advantage

July 14, 2026

Closing care gaps has become a core focus for Medicare Advantage plans for good reason. Gap closure directly impacts Star Ratings, quality…

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Government Medicare and Medicaid programs rely on our comprehensive dashboards to understand cost drivers, gaps in care, and social determinants impacting beneficiary outcomes.

 

Explore Medicaid Analytics