Medicaid Cost Containment Solutions

Equipping you to scale the cost containment summit

To scale the health care cost containment summit, your health plan needs a knowledgeable guide. Someone experienced in analyzing the challenges ahead, planning the right route, and selecting the best gear and timing to ensure your success. A guide like Commonwealth Medicine.

Medicaid Program Strategies

Our subject matter experts serve as experienced guides to help remove the guesswork and uncertainty from your climb. We have helped state Medicaid programs implement effective cost containment solutions, improve member health outcomes, and support care delivery. Let us use that knowledge and experience to help with your Medicaid plans and members. Our focus includes strategies for:

  • Analysis of Medicaid laws and regulations and their application to day-to-day operations
  • Addressing network development and adequacy challenges
  • Training for plans and providers supporting Medicaid and Medicare plans

Outreach and Engagement

Great communication is a foundational trait of strong and successful expedition teams. Our comprehensive approach relies on advanced technology, specialized customer service representatives, and field-proven best practices to improve efforts at member outreach and engagement, reducing risk factors for health complications and enhancing member satisfaction.

Clinical Pharmacy

Health plans are charged with controlling pharmacy expenses, while delivering positive outcomes for members. Our highly-skilled clinical staff—including more than 80 pharmacists—develop and implement innovative, customized pharmacy service solutions focusing on quality of care, retrospective utilization review, clinical drug information, pipeline impact analysis, and data-driven approaches to cost control.

Managed Long-term Services and Support (MLTSS)

Complex payment models, along with uncertainty around federal policy, create challenges that may hamper your climb to the cost containment summit. Our clinicians, policy experts, and data scientists work with your executives, program managers and operational staff to build MLTSS programs that improve health care delivery for your most socially vulnerable and medically complex members.

Let’s plan your cost containment summit route!

Have your ascent begin with a smart first step. Contact Commonwealth Medicine to discuss how we can help your organization make a sure-footed, successful climb on the cost containment summit!