Hero - Government

Reduce Wait Lists and Efficiently Manage Beneficiaries

As CMS accelerates the shift to value-based care, government entities must adapt their business models to do even more with less. New processes and systems are needed to enable efficient and precise targeting and management of individuals and populations who cost the most so organizations can stretch their valuable resources to maximize the number of beneficiaries they can reach.

We can help you lower costs and improve outcomes for complex and vulnerable populations, such as those in LTSS, MLTSS and PACE programs.

Efficiently collaborating across the healthcare ecosystem—including medical, behavioral, community, and personal care resources—will enable you to keep beneficiaries safe at home with the appropriate level of care instead of wasting resources on ED or hospital visits and expensive nursing home facilities. And optimizing your quality metrics and patient experience for Medicaid beneficiaries will help you succeed with your value-based contracts.

Medecision supports the health of consumers and your business

For more reasons government clients choose Medecision, see how we support:

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Digital Care Management

  • Connect healthcare ecosystems
  • Personalize and orchestrate care for all consumers
  • Use integrated data intelligence from across the care community

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High-Tech, High Touch

Consumer Engagement

  • Ensure care experiences are personalized and proactive
  • Offer omnichannel engagements
  • Meet quality metrics and value-based goals

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Care Coordination

  • Increase operational efficiency and improve turnaround times
  • Proactively manage gaps in care and increase satisfaction for both providers and consumers
  • Manage network leakage through preferred provider set-up

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Utilization Management

  • Automate tasks to reduce costs
  • Improve throughput and turnaround times
  • Increase your competitive edge

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