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  • Capgenus Staff

MEDICAID HMO

Standing up a Medicaid HMO and bringing innovations to managed care.

NextLevel Health Illinois – Population Health



Client

NextLevel Health is a managed care health plan for people on Medicaid, but not Medicare, living in Cook County, Illinois. 


Partnership Opportunity

Capgenus partnered with experienced health care executives to lay the groundwork for a start-up Care Coordinating Entity (Illinois CCE), which has since grown to become a full-risk Medicaid HMO. In our role, we established the framework for population health and community engaged care coordination.


Results

NextLevel Health Partners, Inc. (NextLevel Health), is celebrating four years of service for Cook County residents with Medicaid and for Managed Long-Term Services and Supports (MLTSS) program (Medicare and Medicaid). Capgenus defined and built Next Level Health’s population health, informatics, and data management teams and strategy.


As the first population health team we designed and operationalized care coordination models and analytics for the plan’s managed care initiatives. Today, NextLevel Health compassionately manages and coordinates its members care with a deeper understanding of their medical histories, communities and social determinants of health.

As a result, NextLevel positively influences its members health outcomes by increasing access to health care, building strong partnerships in neighborhoods and by understanding important local issues.


To Learn More visit:

http://www.nextlevelhealthil.com


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