Managing At-Risk Medicaid Population With the FHIR-Enabled Data Activation Platform
Optimizing care procedures to boost patient health outcomes and ROI for health systems Since its inception in the 1960s, Medicaid managed care has now been adopted in various forms by 48 US states, with private insurers (both nonprofit and for-profit) covering an increasing number of beneficiaries. Despite its widespread adoption, there is a need for payment reform with stronger quality monitoring and alignment among states, plans, and providers to enhance value. The Centers for Medicare and Medicaid Services is now moving forward with initiatives that increase providers’ downside risk.
