Case Study

Insourcing Medicaid Business Ops

Insourcing Medicaid Business Ops

The Firm Our consultants have worked in a variety of management, operational, and technical positions within payer and provider organizations. They average more than 15 years of experience in the healthcare industry. We have first-hand knowledge of your challenges, and understand how to overcome competitive pressures, organizational obstacles, and limited resources. Use Case The Change Healthcare Consulting team responded to a large payer’s request for help insourcing its Medicaid business operations. The payer knew this was a significant effort and wanted a team with Medicaid domain expertise to support bringing every core Medicaid function in-house: enrollment, billing, claims, care management, clinical quality, customer service, finance, risk revenue, compliance, a

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