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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

risk-based-approach-featured

Will adopting a risk-based approach with augmented analytics support care gap closure?

February 24, 2023

A common challenge for healthcare systems is how to properly segment its patient populations based on risk profiles and co-morbidities. Doing this well ensures a high quality of care delivery and superior patient outcomes.

Read on...

4 questions healthcare executives are asking about augmented analytics

November 29, 2022

At our annual Impact Summit, I had the privilege to talk about augmented analytics and address questions from healthcare executives—many…

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Using data analytics to combat the maternal health crisis

November 18, 2022

With most pregnancy-related deaths being considered preventable, why is the United States facing a maternal health crisis? The country’s maternal mortality rate is the highest of any developed nation in the world and more than double the rate of peer countries.

Read on...
Dr. Lyle Berkowitz

Q&A with Dr. Lyle Berkowitz: Diving into the future of AI, analytics and precision medicine

October 21, 2022

Estimated reading time: 4 minutes After an excellent keynote session led by Dr. Lyle Berkowitz at our 2022 Impact Summit…

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