Partnering for Success
Helping to Navigate the Shifting Medicaid Landscape
Initium brings extensive experience in Medicaid strategy across expansion and non-expansion states, as well as those experimenting with Medicaid ACOs. Medicaid must be understood at the local level as the regulatory framework and financing mechanisms are in a great state of flux. Market segmentation and managing the growing Medicaid population have become key to the financial success of health systems.
Increasingly, systems look at the Medicaid population as an opportunity to develop expertise at providing low-cost high-quality primary and preventive care while leveraging technology. Caring for patients with Medicaid requires distinct population health capabilities, and states are increasingly incentivizing providers to invest in non-medical interventions. Core components of successful Medicaid strategies include information-sharing mechanisms, on-the-ground care coordination, provider and community collaboration, robust quality accountability, data sharing and integration. A cohesive Medicaid strategy must also include a robust plan of action for behavioral health.
Hunting for the Heart of a Changing Community
“It’s essential to understand our communities and how they’re changing, becoming more diverse and culturally different, and then address it on that level.”
– James Corbett
We worked with an integrated non-profit health system to develop a system-wide solution for managing Medicaid. Using health informatics models, public health data, and a heat map, we developed efficient and effective care and operating models. The outcome was reduced no-show rates, increased revenue, and improved health outcomes.