Medicaid Program Management
Upgrade Medicaid one step at a time to fight fraud and cut costs
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Delivering for our clients at scale
Improve integrity and efficiency without overhauling your system
Many state Medicaid programs still rely on legacy systems that are costly and difficult to upgrade. These platforms limit service efficiency, data visibility and compliance.
Conduent Medicaid Suite (CMdS) makes it easier to move forward. By supporting incremental upgrades and step-by-step flexibility, CMdS helps agencies modernize on their terms while improving access, performance and alignment with MITA and CMS goals.
Integrated analytics and reporting, including enterprise data warehousing, give agencies the power to streamline operations, strengthen oversight and deliver better results for the people they serve.
*Source: Medicaid.Gov
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Optimize budgets
Ensure data-driven decisions and performance with advanced web-based analytics that provide key insights into finances, trends and usage.
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Modernize incrementally
Upgrade systems step by step to minimize disruption, control costs, and adapt to evolving program needs.
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Boost program integrity
Leverage pre- and post-payment tools to verify accurate coding, streamline claims processing and manage financial transactions with precision.
Medicaid Program Management: Commonly asked questions
How can Medicaid agencies improve operational efficiency?
Modernizing legacy systems with scalable, cloud-based solutions like Conduent Medicaid Suite (CMdS) can streamline operations, reduce costs, and enhance service delivery. These solutions also ensure compliance with CMS standards and adapt to evolving regulatory requirements.
What strategies help Medicaid agencies address rising enrollment numbers?
Leveraging advanced data analytics and automated workflows enables agencies to handle increased demand efficiently. Tools for eligibility verification, claims processing, and fraud detection also help manage growing caseloads without compromising accuracy or timeliness.
How can Medicaid agencies stay ahead of regulatory changes?
Agencies can adopt flexible, modular technology solutions that quickly adapt to new CMS requirements and state-specific regulations. Partnering with experienced vendors like Conduent ensures compliance, minimizes disruption, and keeps systems aligned with evolving healthcare policies.