Who We Support

Medicaid Programs

While the specifics of Medicaid programs vary from state to state, their goal is the same—to improve quality and reduce cost of care for Medicaid patients. Success with these programs requires a focus on fundamental population health management techniques that allow an interdependent network of providers to efficiently work together to achieve better outcomes.

GSI Health’s GSIHealthCoordinator platform was designed to support Medicaid programs where care coordination and care management are fundamental to successful population health. Our software platform has helped our clients serve over 1 million Medicaid patients across the country by bringing care coordination functionality to entire networks so medical providers can collaborate with organizations addressing social determinants of health.

With analytics designed specifically for care management and the interoperability to connect into your ecosystem, GSIHealthCoordinator enables you to form highly functional care teams that deliver more efficient, effective care to both patients and populations, ultimately improving patient outcomes. We help providers transition care and promote follow-up after hospitalizations, supporting diverse provider networks through a strong system-to-system data exchange. Providers can proactively identify patients for care management to reduce hospital admissions and unnecessary ED visits and work together as a care team to help patients get the services and care they need to get healthier.

We support a wide variety of Medicaid programs, including:

GSIHealthCoordinator Enables... Impact:

Care team collaboration with integrated care teams

  • Efficient coordination across acute, ambulatory, home, and long-term care settings
  • A platform that brings medical, behavioral health, social service, and health plan providers together as an integrated care team
  • Workflows to orchestrate how the care team addresses each patient’s unique needs
  • Improved transitions in care and reduced avoidable hospital usage, including ED visits and readmissions

Patient identification

  • Identification of patients for enrollment into care coordination programs based on risk profiles, clinical diagnosis, or non-clinical factors that may impact the patient’s health and the organization’s overall risk
  • Improved outcomes through better, more personalized care, care planning, and coordination across the organization

Interoperability with EHRs, HIEs, and other care management systems

  • Improved information sharing and data aggregation across multiple systems and providers
  • Real-time alerts for patient hospitalizations and ED visits so you can intervene
  • Streamlined reporting and administration for reporting consistency and compliance and for operational insight

Outcomes measurements and service tracking

  • Flexible and comprehensive care management analytics empowering you to measure your care management program outcomes and process effectiveness, and to identify how to improve.
  • Service tracking and reporting to better manage your processes, track care teams activities, ensure payments, and enforce reporting consistency and compliance

Flexibility to accommodate your PPS readiness and Medicaid 1115 waiver objectives

Adapt your care management solution based on evolving programs, patient needs, regulations, and compliance reporting criteria