Make every citizen interaction with your program count
Respond to the growing demand for assessments
Resolve benefit disputes with a nonjudicial approach
Modernize your program, adapt to changing needs
Make services easier to access, ensure program integrity
Government agencies must overcome major challenges to ensure their healthcare programs are sustainable and cost-effective. Our solutions offer customizable options to help you achieve program goals in this fast-paced social, political and economic climate.
Medicaid and CHIP beneficiaries served
State and local health programs operated
Legal and medical professionals conducting independent medical reviews
Change is everywhere, bringing challenges such as rising costs, aging populations, substance abuse and evolving legislation. We’re here to help you navigate it all, so you can run large programs at peak efficiency and help vulnerable citizens lead healthier, fuller lives.
Across the health services spectrum, we have deep knowledge of government programs and populations. We’re conflict free and outcomes focused, so you can be sure we’re completely committed to your success.
We manage 70% of all Medicaid and CHIP beneficiary enrollments nationwide.
We complete over 1.5 million assessments in the U.S. & U.K. annually.
Our solution has earned modular certification from the Centers for Medicare and Medicaid Services (CMS).
We have 100+ contracts in U.S. and handle 5.3 million calls per month across Medicare, Medicaid and social service programs.
Participants in California diversion program experience just a 13% relapse rate, compared to 50-75% following traditional treatment.
We complete 1 million benefit appeals annually for government services, including eligibility, health, disability and workers’ compensation.
For more than 20 years, we’ve been helping California’s complex Medicaid program navigate change – from initiating a specialized customer care center to absorbing the state’s CHIP program to improving care for beneficiaries also enrolled in Medicare.
Additionally, our diversion program offers a proven model for overcoming addiction and returning people to work, while our Independent Medical Review program dramatically streamlines the process to resolve appeals.