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.

Accelerate innovation

Modernize processes to be more intuitive and user-friendly for consumers and program staff.

Case Study: Simplifying enrollment in New York using your smartphone

Increase efficiencies

Streamline your processes and reduce wait times with a comprehensive strategy.

Case Study: Easing the path to long-term care services in Pennsylvania

Elevate engagement

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

Case Study: Meeting people where they are in Louisiana through digital

Improve outcomes

Increase access to care and support for children and families through conflict-free assessments.

Article: Addressing youth mental health in New Hampshire

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.

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