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Managed Medicaid solution for
improved population health

Innovaccer’s Managed Medicaid solutions help providers deliver efficient,
outcome-oriented care, decrease unnecessary utilization, account for
important social determinants of health (SDoH) factors, and
improve patient engagement.
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America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud
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The Innovaccer Health Cloud for
Managed Medicaid
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Better population health outcomes

Maximize financial outcomes, gain data-driven insights,
mitigate risk with actionable analytics, and achieve
better patient outcomes.

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Contract & Cost Management

Manage multi-contract performance, view key cost and utilization metrics, and meet network goals. Build custom dashboards to track performance at practice or PCP levels, lower pharmacy spending, and promote evidence-based treatment.

Data & Analytics

Aggregate data from various sources and settings, including community-based organizations and behavioral health agencies. Identify and manage SDoH, highlight care gaps, and find opportunities to improve outcomes.

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Social risk score generated
by machine learning
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Comprehensive Medicaid
contract view
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State or MCO-defined
metrics

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Integrated, patient-centric care management
Reduce readmissions and emergency department utilization with patient-centric care workflows. Manage patients with complex conditions using customized chronic care plans, integrated SDoH workflows, and automated care coordination.
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Activate SDoH Data for Providers
Identify patient-specific social needs, connect patients with Aunt Bertha — the largest network of community resources, and facilitate closed-loop SDOH referrals.
Care Management
Implement targeted care management programs around behavioral health and other chronic conditions. Execute automated protocols with disease-specific, risk-based parameters, and let our contact center manage your patient requests.
Interconnected Virtual Care
Perform remote appointments with a flexible telemedicine solution. Manage total cost of care with seamless workflows, close coding and care gaps, and securely communicate via video, voice, or chat.
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State-specific
assessments
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Targeted
interventions
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Medication
management

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Enhanced patient engagement
Stay engaged with your members through automated outreach, targeted messaging, two-way communication, and virtual visits. Support preventive health workflows to encourage patients to make and keep appointments like annual wellness visits and disease screenings.
Automated, Personalized Reachout
Enable automated, personalized outreach programs that help patients maintain their health. Create targeted campaigns using psychographic profiling and ensure success through analytics.
Patient-Centric Functionality
Execute outreach through phone, text, email, chat, and other media in more than 30 languages. Help your patients manage their care through an intuitive app and easily share clinical information.
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Psychographic
profiling
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HIPAA compliant bi-
directional communication
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Omni-channel communication

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Effective physician engagement
Leverage point-of-care alerts on care and coding gaps, medications, and more to realize value in outcomes while helping physicians be more efficient.
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Provider Efficiency
Access actionable insights about care and coding gaps at the point of care without switching screens. Create and access custom dashboards to easily track and analyze provider performance.
Referral Management
Reduce cost of care and improve network integrity via referral modules and e-consults. Manage incoming referrals, coordinate patients, and process prior authorizations with centralized workflows.
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Centralized referral
management system
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Intelligent rule engine for
quick referral processing
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Dashboards to monitor
leakage and provide alerts

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“Having access to timely data allows our care team to intervene in real time.”
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“The Innovaccer Health Cloud plays a central role in how we support our provider network.”
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Activate your vision for a healthier world

Join other healthcare leaders in building the future of
health on the Innovaccer Health Cloud.