Case Study
Care Management and Medical Cost Control Strategy for State Government
Helped in developing a new Care Management program and medical cost control methodologies.
HES principals led an interdisciplinary team of actuaries, policy specialists, data analysts and procurement specialists in assisting a USD$2B government-operated Medicaid health plan in developing a new Care Management program and medical cost control methodologies.
Health plan adopted and implemented a refreshed care management plan, leading to improved cost control.