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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

Enhancing healthcare delivery with explainable AI: A methodological leap forward

April 25, 2024

Healthcare providers and payers continually seek methods to enhance patient care and operational efficiency. With the advent of complex data…

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Another year, another great HIMSS!

April 5, 2024

HIMSS24 was a fantastic event, as always. One of our favorite additions this year was the Digital Health Technology Theme…

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Three ways to improve patient retention in recovery programs

March 6, 2024

Deaths from drug overdoses have increased from ~1 per 100,000 in 1999 to ~4 per 100,000 in 2020.1 The introduction…

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ACOs and value-based care in 2024: Four key questions and answers

February 27, 2024

ACOs have long been at the front lines of value-based care efforts. In a recent LinkedIn Fireside Chat, Andy Dé…

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