Meeting Medicaid Network Adequacy With Advanced Network Management Solutions

This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.

More Than Meets the ROI

A costly CMS penalty proved they couldn’t keep managing their provider networks the same old way. For a New York health plan, smarter provider network management was a better investment than they imagined.

A Tale of Two Networks

Having struggled to build a Medicaid network, they now faced the more complex requirements of Medicare — with only one shot to get it right.