Comprehensive solutions for Medicaid Managed Care Organizations. Improve member outcomes, manage complex populations, and ensure regulatory compliance with integrated care coordination, social determinants screening, and automated quality reporting.
From complex population management to regulatory compliance, our platform is designed specifically for Medicaid managed care challenges.
Manage diverse member populations with multiple chronic conditions, social barriers, and complex care needs.
Coordinate care across multiple providers, specialists, and community resources for better outcomes.
Meet CMS and state-specific quality requirements while improving member health outcomes.
Purpose-built capabilities for Medicaid managed care organizations and their unique member populations.
Identify and address social barriers to health with comprehensive screening and community resource connections.
Integrate behavioral health services with primary care for holistic member management.
Specialized programs for pregnancy care, pediatric health, and family planning services.
Coordinate LTSS benefits with medical care for dual-eligible and high-need members.
Automated member engagement for appointment reminders, health education, and care gaps.
Identify high-risk members early with predictive analytics and intervention triggers.
Real improvements in member health outcomes and MCO performance metrics.
Holistic approach addressing medical, behavioral, and social needs.
Meet all CMS and state-specific reporting requirements automatically.
Reduce avoidable utilization while improving member satisfaction.
Targeted programs for specific Medicaid populations with measurable outcomes.
Comprehensive prenatal and postpartum care coordination with community support services.
Integrated behavioral health services with primary care and substance abuse treatment.
Multi-condition care plans with medication management and lifestyle intervention support.
Connect members with community resources and social services to address social determinants of health and improve overall outcomes.
Comprehensive database of local social services, food banks, and community organizations.
Integrate with transportation services for medical appointments and pharmacy visits.
Address basic needs that impact health outcomes and care adherence.
Join Medicaid MCOs nationwide that have improved member outcomes, enhanced care coordination, and achieved better regulatory compliance with Simpl Healthcare.