Evidence-Based Strategies for Medicaid RFP
In Florida, a state-level view of PCP utilization per patient does not reflect the regional utilization rates.
Gain visibility into region-specific utilization patterns
Healthcare is local. Medicaid patients do not interact homogeneously with the healthcare continuum, resulting in regional variability. With RFP Intelligence, payers can explore utilization beyond their current member population or within greenfield markets.
Respond to the Medicaid population’s changing needs
Years of forgone preventative care will result in higher acuity patients that will be more costly to manage. MCOs need to develop care strategies with the most up-to-date data to effectively manage the Medicaid population’s post-pandemic needs.
While primary care utilization has returned to pre-pandemic levels in some regions, most markets in Texas exhibit sustained declines.
Enhance proposals with RFP Intelligence
Explore 5-year trends for:
Member and cohort-specific utilization of outpatient, emergency department, primary care, and telehealth services.
Preventable admissions and emergency room visits of outpatient, emergency department, primary care, and telehealth services.
True access to providers based on Medicaid utilization patterns, so payers can ensure that they build networks that support and improve care access.
Outmigration by Medicaid region highlights network development opportunities to support access to care outside their local market.
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