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

Enterprise Analytics for Medicare Advantage: Why unified intelligence is the future of MA performance 

June 10, 2026

Medicare Advantage organizations are facing growing pressure to improve quality outcomes, optimize financial performance, reduce compliance risk, and deliver better member experiences, all…

Read on...

Where Medicare Advantage revenue leaks: The disconnect between RAF, Star Ratings, and MLR 

June 9, 2026

Most Medicare Advantage revenue loss doesn’t show up where finance teams expect it. It’s not a single variance in a report or a clear…

Read on...

AHIP26: Turning Healthcare Complexity into Measurable Performance

May 19, 2026

Health plans are navigating rising medical costs, intensifying regulatory demands, margin pressure, evolving member expectations, and growing operational complexity, all…

Read on...

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

May 15, 2026

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

Read on...

Want to talk with one of our experts?

We're driving data-powered improvement across the industry

Healthcare Providers and Health Systems depend on us for end-to-end revenue cycle management (RCM)  Analytics that helps them lower denials, accelerate A/R and improve staff productivity.

Healthcare providers and health systems

Healthcare Providers and Health Systems

use our end-to-end revenue cycle management analytics to lower denials, accelerate A/R, and improve staff productivity.

 

Explore Provider Solutions

Healthcare Payers and Health Plans deploy our Value Based Care and Provider Analytics to improve population health and quality management, and empower their employers and brokers thru self-service analytics.

Healthcare payers and health plans

Healthcare Payers and health plans

deploy our value-based care and provider network analytics to enhance population health, quality and network management and empower their employers and brokers through self-service analytics.

 

Explore Payer Solutions

Government Programs for Medicare and Medicaid Enterprise Analytics that helps plans to understand cost drivers, gaps in care, demographic and SDOH impact to improve care outcomes.

Government Medicare and Medicaid programs

Government Medicare and Medicaid programs

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