Excelling at State Readiness

July 28, 2022

State regulators conduct readiness reviews of managed Medicaid plans to ensure tight oversight and identify weak spots. While plans typically have long lead times to prepare for these assessments, one of our partners recently found itself facing an unanticipated readiness review. Together, Evolent Health Services and the plan faced an uphill battle against an ever-changing review process. Unpredictable testing scenarios kept our organizations on our toes, as did frequently changing requirements, targets and timelines.

Read this latest Excellence in Action piece to learn how we and our health plan partner rose to the challenge.

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Spotlight: Meeting the Data Demands of NCQA’s New Health Equity Accreditation
Spotlight: Meeting the Data Demands of NCQA’s New Health Equity Accreditation

Analyzing and leveraging the "right" data will be key to earning Our managing director of quality and accr...

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Matchmaker, Matchmaker: Making the Provider Data Match
Matchmaker, Matchmaker: Making the Provider Data Match

Evolent Health Services drives a dramatic turnaround in provider data accuracy for a Medicaid plan.