Maximize Rewards, Minimize Complexity

Customized tools for every state’s unique measures and scoring system. Track, predict, and adjust to meet your state’s requirements with confidence.

Flowchart with steps and dependencies in HelloBot
Flowchart with steps and dependencies in HelloBot
Flowchart with steps and dependencies in HelloBot

Discover How Medicaid Monitor Can Help You

Your State. Your Program. Your Success.

Every state’s Medicaid quality program has unique goals, measures, and incentive structures. At Medicaid Monitor, we understand the complexity of these differences and tailor our platform—including the powerful Scenario Modeler—to align with each state’s specific requirements. This ensures your plan not only complies with local standards but also achieves optimal performance and maximized incentives.

Discover How Medicaid Monitor Can Help You

Your State. Your Program. Your Success.

Every state’s Medicaid quality program has unique goals, measures, and incentive structures. At Medicaid Monitor, we understand the complexity of these differences and tailor our platform—including the powerful Scenario Modeler—to align with each state’s specific requirements. This ensures your plan not only complies with local standards but also achieves optimal performance and maximized incentives.

Discover How Medicaid Monitor Can Help You

Your State. Your Program. Your Success.

Every state’s Medicaid quality program has unique goals, measures, and incentive structures. At Medicaid Monitor, we understand the complexity of these differences and tailor our platform—including the powerful Scenario Modeler—to align with each state’s specific requirements. This ensures your plan not only complies with local standards but also achieves optimal performance and maximized incentives.

Chatbot quick responses

Predictive Analytics

Monitor performance, identify gaps, and adjust strategies with data updated in real time.

Chatbot quick responses

Predictive Analytics

Monitor performance, identify gaps, and adjust strategies with data updated in real time.

Chatbot quick responses

Predictive Analytics

Monitor performance, identify gaps, and adjust strategies with data updated in real time.

Human-like interactions

Advanced Target Setting

Tailor targets to your state’s quality incentive structure, including percentile thresholds, measure weightings, and compliance requirements.

Human-like interactions

Advanced Target Setting

Tailor targets to your state’s quality incentive structure, including percentile thresholds, measure weightings, and compliance requirements.

Human-like interactions

Advanced Target Setting

Tailor targets to your state’s quality incentive structure, including percentile thresholds, measure weightings, and compliance requirements.

Supports multiple languages

Optimize Incentive Outcomes

Use our Scenario Modeler to simulate potential improvements and maximize rewards.

Supports multiple languages

Optimize Incentive Outcomes

Use our Scenario Modeler to simulate potential improvements and maximize rewards.

Supports multiple languages

Optimize Incentive Outcomes

Use our Scenario Modeler to simulate potential improvements and maximize rewards.

24/7 AI support

Data-Driven Discussions

Our Medicaid experts meet with your team regularly to review performance trends, identify emerging gaps, and adjust strategies as needed.

24/7 AI support

Data-Driven Discussions

Our Medicaid experts meet with your team regularly to review performance trends, identify emerging gaps, and adjust strategies as needed.

24/7 AI support

Data-Driven Discussions

Our Medicaid experts meet with your team regularly to review performance trends, identify emerging gaps, and adjust strategies as needed.

Incentive Projections

Incentive Projections

Incentive Projections

Accurate Projections, Smarter Decisions

Predict year-end performance for each measure, considering seasonal variations, past trends, and current initiatives. With clear, data-driven forecasts, you can make confident decisions about where to focus your resources, whether it’s addressing underperforming measures or reinforcing successful strategies.

Chatbot with quick replies
Customer chat messages

Forecast the Future

Forecast the Future

Forecast the Future

Optimized Resource Allocation

Model the likelihood of reaching critical thresholds to prioritize efforts where they will have the most impact. Our projections help you identify measures with the highest improvement potential, ensuring your time and efforts deliver maximum results.

Monitor and Adapt

Monitor and Adapt

Monitor and Adapt

Integration of Current and Historical Data

Our performance dashboards offer intuitive visuals that show projections alongside historical data and benchmarks. Quickly gather insights that can help drive critical business decisions.

Dashboard for managing conversations

Scenario Modeler

Clarity in Complexity

Our platform features a customized Scenario Modeler designed to simulate outcomes based on your state’s scoring system. With our model, you can: Test hypothetical performance improvements to see their effect on total scores and financial incentives. Identify high-impact measures that bring your plan closer to state-defined benchmarks. Predict the impact of closing compliance gaps to secure the highest possible scores.

Scenario Modeler

Clarity in Complexity

Our platform features a customized Scenario Modeler designed to simulate outcomes based on your state’s scoring system. With our model, you can: Test hypothetical performance improvements to see their effect on total scores and financial incentives. Identify high-impact measures that bring your plan closer to state-defined benchmarks. Predict the impact of closing compliance gaps to secure the highest possible scores.

Scenario Modeler

Clarity in Complexity

Our platform features a customized Scenario Modeler designed to simulate outcomes based on your state’s scoring system. With our model, you can: Test hypothetical performance improvements to see their effect on total scores and financial incentives. Identify high-impact measures that bring your plan closer to state-defined benchmarks. Predict the impact of closing compliance gaps to secure the highest possible scores.

Flowchart with steps and dependencies in HelloBot
Flowchart with steps and dependencies in HelloBot
Flowchart with steps and dependencies in HelloBot

Product Integrations

Unified Analytics for Better Decisions

By integrating Medicaid Monitor with Stars Monitor and EQO, you gain a comprehensive view of your plan’s performance across all quality programs. This unified perspective enables better decision-making and more efficient resource allocation.

Product Integrations

Unified Analytics for Better Decisions

By integrating Medicaid Monitor with Stars Monitor and EQO, you gain a comprehensive view of your plan’s performance across all quality programs. This unified perspective enables better decision-making and more efficient resource allocation.

Product Integrations

Unified Analytics for Better Decisions

By integrating Medicaid Monitor with Stars Monitor and EQO, you gain a comprehensive view of your plan’s performance across all quality programs. This unified perspective enables better decision-making and more efficient resource allocation.

Stars Monitor Integration

Save time and resources by managing Medicaid and Medicare quality programs in a single platform, with shared tools and aligned workflows.

Automated workflows diagram

Stars Monitor Integration

Save time and resources by managing Medicaid and Medicare quality programs in a single platform, with shared tools and aligned workflows.

Automated workflows diagram

Stars Monitor Integration

Save time and resources by managing Medicaid and Medicare quality programs in a single platform, with shared tools and aligned workflows.

Automated workflows diagram

EQO Integration

Bring member-level precision to Medicaid quality programs, enabling data-driven decisions that improve outcomes and boost satisfaction. (Coming Soon)

No coding trigger setup

EQO Integration

Bring member-level precision to Medicaid quality programs, enabling data-driven decisions that improve outcomes and boost satisfaction. (Coming Soon)

No coding trigger setup

EQO Integration

Bring member-level precision to Medicaid quality programs, enabling data-driven decisions that improve outcomes and boost satisfaction. (Coming Soon)

No coding trigger setup
Abstract Design

Connect with Us to Drive Results

Whether you’re ready to see a demo, have questions about our solutions, or want to explore how Medicaid Monitor integrates with your existing tools, we’re here to support you. Let’s work together to maximize your quality scores, improve member outcomes, and achieve your program goals.

Abstract Design

Connect with Us to Drive Results

Whether you’re ready to see a demo, have questions about our solutions, or want to explore how Medicaid Monitor integrates with your existing tools, we’re here to support you. Let’s work together to maximize your quality scores, improve member outcomes, and achieve your program goals.

Abstract Design

Connect with Us to Drive Results

Whether you’re ready to see a demo, have questions about our solutions, or want to explore how Medicaid Monitor integrates with your existing tools, we’re here to support you. Let’s work together to maximize your quality scores, improve member outcomes, and achieve your program goals.