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Amidst budget constraints, changing federal and state policies, and the challenges of meeting the unique needs of the Medicaid population, government agencies continue to make the shift to value-based care.

In this environment, it’s essential to have an accurate picture of current operations as well as insights into the future - issues on the horizon that can be prevented or mitigated. When agencies have 360-degree views of their populations and of each beneficiary, they are empowered to share data with other entities tasked with providing care - including pharmacy, behavioral health and other providers of care for specialty populations.

HealthEC helps government healthcare agencies optimize health and wellbeing of their beneficiaries by providing a unified population health platform along with assistance needed to:

  • Reduce clinical and administrative tools
  • Identify gaps in care
  • Address social determinants of health
  • Assess and improve provider performance
  • Enable effective care coordination across entities that work together to address the needs of the Medicaid beneficiaries

HealthEC’s population health management platform includes several CMS certifications and approvals, so government agencies can have confidence in addressing evidence-based measurements and outcomes for quality performance of all providers.

4 Key Capabilities

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HealthEC’s expertise in data warehouse development and implementation facilitates unparalleled data access and connectivity, affording states flexible, cost-efficient performance and reporting solutions.

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Dedicated to improving healthcare quality measurement and reporting, the platform monitors performance reporting, compliance and utilization as the industry moves from volume to value.

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Embedded assessments address barriers to care, facilitate data-driven collaboration between Medicaid agencies, payers and providers, and connect

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Track MCO performance across the state with timely, accurate dashboards powered by innovative data aggregation and analytics technology that leverages 100 percent of all electronically available data in near-real time.

Learn how HealthEC can help control costs, improve quality of care for beneficiaries,
and provide greater oversight of managed care programs

State Medicaid Agencies

For State Medicaid agencies, HealthEC provides the ability to aggregate data from disparate organizations (Medicaid Managed Care organizations, Federally Qualified Health Centers, pharmacists and other provider types), risk stratify beneficiary populations, and develop tailored care plans that address the specific needs of Medicaid beneficiaries - while reducing unnecessary costs and closing gaps in care. Supporting a holistic view of the beneficiary, HealthEC supports complex care requirements by integration medical and behavioral health data and factors in social determinants of health, so that State Medicaid agencies and other healthcare organizations can easily coordinate care plans and connect beneficiaries to the services they need.

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State and County Health Departments

On the front lines of healthcare delivery, state and county health departments need tools that deliver quality care and ensure limited resources are deployed effectively. HealthEC equips health departments with a population health platform that makes care assessments quick and easy. Our CareConnect module let’-s care managers develop evidence-based, individualized care plans that integrate behavioral and medical health data, comorbidities, risk factors, and social determinants of health. Armed with reliable, 360-degree data on their beneficiaries, care givers can address gaps in care, coordinate complex care, and connect beneficiaries with the services they need, all while driving costs down.

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