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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

You can’t spell value-based care without clinicians

June 20, 2023

In advance of her panel participation at the 2023 RISE Qualipalooza, we sat down with Vice President of Product Consulting…

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10 Strategies for Engaging Providers in Data Dashboards

June 6, 2023

Payer organizations should be dialed in on data engagement as a key indicator of financial sustainability, successful care delivery, and…

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Proactively predicting ER visit trends with augmented analytics to improve revenues, asset utilization and patient outcomes

May 19, 2023

Mission critical emergency departments (EDs) are the most valuable revenue generating asset for hospitals. While visits decreased during the pandemic,…

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comorbidity photo

Best practice tools to build an integrated approach to multimorbidity

April 10, 2023

The traditional model of treating single diseases no longer works. Data collected from 2016 to 2019 indicated that 32.9% of…

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