Health and Wellness

Improve health outcomes in today's complex world

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.

The market leader in health services

52 million

Medicaid and CHIP beneficiaries served

State and local health programs operated

2,000+

Legal and medical professionals conducting independent medical reviews

Solving your biggest challenges

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.

Elevate engagement

Continually improve the customer experience using our self-service, digital and social tools.

CASE STUDY: Easy enrollment using your smartphone

Increase efficiency

Streamline your processes and pinpoint slowdowns in real time, using business intelligence.

CASE STUDY: Reevaluating more than 2,000 processes in Texas

Accelerate innovation

Improve outcomes and support new delivery models by integrating data in innovative ways.

CASE STUDY: Prescription drug monitoring reduces abuse

Support growth

Scale, expand and integrate your programs with budget-friendly, modular solutions you can add incrementally.

CASE STUDY: Helping New York adapt to changing state needs

One resource for everyone

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.

Eligibility and Enrollment Services

We manage 70% of all Medicaid and CHIP beneficiary enrollments nationwide.

Screening and Assessment Services

We complete over 1.5 million assessments in the U.S. & U.K. annually.

Provider Management Services

Our solution has earned modular certification from the Centers for Medicare and Medicaid Services (CMS).

Contact Centers

We have 100+ contracts in U.S. and handle 5.3 million calls per month across Medicare, Medicaid and social service programs.

Substance Abuse / Diversion Programs

Participants in California diversion program experience just a 13% relapse rate, compared to 50-75% following traditional treatment.

Benefit Reviews and Appeals

We complete 1 million benefit appeals annually for government services, including eligibility, health, disability and workers’ compensation.

Consultancy and Advisory Services

We’re a one-stop-solution for agencies looking to optimize program delivery, modernize systems and test new ideas.

Connected Wellness

Using health coaches to promote positive health and wellbeing behaviors.

Essential services to accelerate your recovery

Vaccine Distribution Support

A wary public will have questions — lots of them. Offering a centralized resource for understanding and navigating the complex vaccine roll-out could offer tremendous benefits to the public — and help governments build credibility and trust in the vaccine effort.

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Contact Tracing

Meet the unprecedented demand for contact tracers with a team that’s established best practices in the field. Maximus has the capacity to screen, background check, hire, train, and deploy contact tracers and supporting agents in just days or weeks.

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Case Study: State of California

Innovative programs to improve care, reduce costs

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.

Medicaid