Your Road to Success in

Managed Medicaid Contracts

Fulfill annual risk-adjusted, total cost-of-care targets for Medicaid
patients under value-based contracts. With Innovaccer’s Medicaid
Management solution, maximize contract performance by improving
quality & SDoH outcomes, decreasing unnecessary utilization, and
increasing member engagement.

Technology committed to helping providers & patients for effective care delivery

SDOH Referrals

MCO reporting

Behavioral health workflows

Intuitive Platform

EHR-Agnostic

WHITEPAPER

Overcoming the Challenges of the Medicaid Managed Care Market With the FHIRⓇ-Enabled Data Activation Platform

Read the whitepaper now

Understand unique patient needs of your Medicaid population

Comprehend the unique social needs of your medicaid population and look beyond clinical data and proactively identify and address the applicable social determinants of health (SDOH)

Identify high-risk members using our proprietary SDoH risk assessment algorithm
Build individualized care plans for each patient based on their risk profile
Refer and enroll Medicaid patients in vetted community resources
Drive targeted care management programs around hypertension, obesity, diabetes, asthma, and other chronic conditions

Improve Quality with Actionable Insights

Access actionable, data-driven insights to improve care delivery. Close quality gaps and improve performance and patient outcomes.

Create dashboards to track quality metrics as mandated by MCOs
Report quality outcomes to the state / MCOs with a flexible reporting module
Produce standardized reports that support the required documentation
Launch targeted mass outreach campaigns to bring in patients for preventive visits or screenings

Educate & Engage Patients to Drive Outcomes

Boost patient satisfaction by providing them with what they need on their own terms and schedule. Execute automated outreach programs that help keep patients focused on improving their own health outcomes.

Organize campaigns to promote adherence to regular primary care checkups, AWVs, and screening recommendations
Target interventions to manage patients with chronic conditions and ongoing complex care needs
Help members to utilize on-demand mobile-based educational materials per their needs and preferences
Make lab and test results, visit notes, and medical records accessible to patients through an easy to use and intuitive app

Leverage Best-in-Class Cost Management Tools

Take your cost management initiatives to the next level. Drive improved outcomes with enhanced utilization and network management workflows

Leverage drilled-down insights into ED visits, SNF, IP, Lab, Pharmacy, High-Tech Imaging utilization
Identify gaps in care and track provider referral trends to prevent network leakages
Triage, evaluate, and schedule virtual visits to keep the costs of managing patients down while keeping satisfaction high
Use advanced analytics to increase evidence-based treatment and generic drug utilization to lower pharmacy spend

Enhance Population Health Outcomes with Data & Analytics

Reduce data silos and develop unified patient records that include clinical and non-clinical data to gain a comprehensive view of the Medicaid population. Leverage analytical capabilities to create personalized care plans and improve outcomes

Understand drivers of financial performance (risk, quality scores, cost, etc.) at the contract level and take timely actions
Bring together data from claims, clinical settings, community-based organizations, outside patient records, specialist visits, behavioral health agencies, and other third parties
Use industry-standard or custom risk models to stratify your patient base and monitor outcomes
Manage patients with complex medical conditions using point-of-care insights and analytics

Transform your performance in managed
medicaid programs!