Careeva’s Data platforms and services help MCOs achieve their managed care goals & meet the rising expectations of the members they serve. Careeva’s Medicaid managed care solutions equip managed care organizations (MCOs) with integrated solutions for end-to-end administration of member services. Our aim is to make healthcare more affordable and accessible to Medicaid beneficiaries through innovative approaches to care coordination and continuity of care.
Cost Of Care
We provide technology-based member solutions for care management, disease management and care coordination — value-add offerings which are usually not available within the Medicaid fee-for-service framework. These additional services stimulate membership growth for your MCO and at the same time help reduce the cost of care.
Our managed health solutions for utilization management and risk adjustment enable deeper insights for improving utilization across your member base while driving better decision-making for reserve allocation. As a recognized leader in population health management, we leverage our access to many data sets to gain a clear picture of your members’ health risks and the costs of care.
Careeva’s business process services, managed care services and solutions for third party administration bring the power of platforms to keep pace with the requirements of your growing member population and ensure your Medicaid MCO’s success.