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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

Large Midwest health plan maximizes employer client value with improved analysis and reporting

Success Story: Large Midwest health plan maximizes employer client value with improved analysis and reporting

July 16, 2021

A unique requirement of running a successful health plan is staying current on the needs, trends and metrics of employers…

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Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

Success Story: Large, Customer-Owned Health Plan Deployed automated, detailed reporting to exceed client expectations

July 9, 2021

The Challenge This health plan had quickly expanded to over 15 million members in five states. As a result, the…

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COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

COVID-19 affected risk scores and quality outcomes: Here’s what you can do about it

July 6, 2021

As value-based payments continue to grow, provider organizations and health plans are relying more and more on predictive modeling of…

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How to spark support for important analytics initiatives

How to spark support for important analytics initiatives

June 8, 2021

MedeAnalytics hosted a webinar with Fierce Healthcare to explore three industry experts’ perspectives on building analytics strategies and maximizing related…

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We're driving data-powered improvement across the industry

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

 

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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.

 

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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.

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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