Smarter Medicaid Oversight. Real-time Decisions. Measurable Accountability.

The Centers for Medicare and Medicaid Services (CMS), has stated that healthcare spending is projected to grow at an average annual rate of 5.4% between 2019 and 2028, reaching over $6 trillion in total spend by 2028.

Medicaid is a $303.6 billion sized market with the potential to be one of the fastest-growing healthcare divisions. As the Medicaid market evolves, states need to respond with effective care management. They can bring down Medicaid program costs and efficiently manage the health services by contracting with various types of managed care organizations (MCOs).

As states seek to modernize their Medicaid programs to improve care quality, reduce costs, and enhance the patient experience, interoperability has emerged as a critical enabler of transformation. True interoperability - the ability of different information systems, devices, and applications to access, exchange, integrate, and cooperatively use data in a coordinated manner - is essential for state Medicaid agencies to achieve their modernization goals.