We invest heavily in developing proprietary tools and databases.
Landscape analysis: Our analysis covers state-specific Medicaid and dual-eligible landscapes—and projected coverage shifts. We also develop policy and economic outlook and scenarios to assess impact on Medicaid programs, including the implications for each type of stakeholder.
Proprietary tools to assess and improve quality and value: Our library of readily available algorithms and queries enables value assessment and intervention design by subsegment (for example, for behavioral-health and long-term-care services and supports).
Program-integrity tools and algorithms: We use machine-learning models to detect potential cases of fraud, waste, and abuse.
Network of experts: We gather insights from a network of Medicaid and plan-eligibility experts, including former officials of federal and state health-services agencies.