As powerful forces – ranging from the pandemic to evolving technologies and patient preferences – disrupt the healthcare landscape, modernizing legacy systems is crucial to delivering personalized and integrated services while improving outcomes and affordability. Our platform-based Business Process as a Service (BPaaS) help you drive digital transformation and improve customer experience by leveraging fit-for-purpose platforms that streamline processes and deliver underlying efficiencies.
Normal Medicaid enrollment and eligibility processes will resume at the end of Public Health emergency (PHE), forcing States and Health Plans to rapidly complete pending verifications, redeterminations, and renewals. This will not only mean quickly processing significant volume backlogs within mandated timelines but also providing Members relevant support around the redetermination process to prevent disenrollment and protect revenue.
MReD, our modularized Medicaid Redetermination solution, blends digital engagement with proactive outreach to help States and Health Plans drive timely redeterminations even as they focus on the ongoing vaccination drive. It helps members seamlessly navigate the redetermination process, improving outcomes within three months of implementation.
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