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.
Identify high-cost claimants to prioritize for care management
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
Data and Social Determinants of Health
By Scott Hampel – I think a lot–and I’m not the only one–about how we can improve the ways we pull information from data. Data on its own is inert: just waiting to be understood and then used. And that’s a major challenge for many organizations. Data is often trapped in different applications with no easy or convenient way to extract it.
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Why Social Determinants Need Analytics for Success
Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.
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Healthcare Organizations Recognize Importance of AI for Reporting
Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:
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Why It’s Time for Healthcare to Move Toward AI Reporting
Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.
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We're driving data-powered improvement across the industry
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.
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.
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.