Evolent Health Services

Medicaid Capabilities Flyer_0821

Issue link: https://insights.evolent.com/i/1404179

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CMS & State Program Compliance • Staff fully trained on CMS guidance and state-specific requirements, including for specialized populations • Consistent, reliable performance against program- & plan-specific SLAs • Experienced support for regulatory readiness reviews Quality-Focused MCO Program Support • Member-, provider- and plan-level interventions targeted toward top HEDIS scores performance • Plan performance measurements assess resource allocation, member redetermination and outreach, impact of pilot interventions and member incentives Whole-Person Approach to Care • Proven evidence-based programs and care models blend clinical and community-based interventions such as transportation and housing • Community health workers coordinate clinical, social and community services Health Equity Focus • Equity-centered supplier program targets contracts with diverse vendors • Racial Disparities Dashboard evaluates membership to help identify and mitigate health disparities Actionable Opportunities • Medical economics studies identify clinical and financial opportunities to elevate partners' performance. • Timely, accurate reporting drives insights to enable partners to expand access to care and identify where best to reinvest in the community. Medicaid Expertise to Help Plans Thrive Enabling MCOs to Deliver Cost-Effective, High-Quality, Whole-Person Care to Vulnerable Populations Whether you're an established MCO looking to transform your operations or considering entry into the Medicaid arena, Evolent Health Services has the expertise to power your success. We can guide you at every stage, from partnering on RFP responses and passing state readiness audits, to managing on-time implementations and running ongoing operations. CAPABILITIES TO MEET STATE REQUIREMENTS AND MEMBER NEEDS 1M+ lives supported across multiple markets

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