Infographic: Medicaid Market Innovations

Wednesday, March 28th, 2018
This post was written by Melanie Matthews

As the nation’s largest health insurer, Medicaid offers the opportunity to deliver value and improve healthcare on an unparalleled scale. Facing pressure to improve access, efficiency, and quality, the Medicaid market is primed for innovation.

A new infographic by the California Health Care Foundation examines the Medicaid market’s greatest areas of opportunity and some start-ups already making an impact.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex PopulationsAsked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team. Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

The Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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