Stop Avoidable Medicaid Member Loss

CONTINUITY OF CARE INTELLIGENCE PROGRAM · CCIP

5,507

Members Reinstated
Since Jan 2025

$47.9M

Cumulative
Capitation Retained

$4.73–$6.67

Returned per
$1 Spent

44%

Average Disenrollments
Prevented

01

Invisible Members

Plans don’t see who’s at risk until too late. Delayed state files eat into the reinstatement window before outreach can act.

02

Bad Data, Late Data

834 files arrive weeks - months late. Supplemental files go missing. Fragmented data makes timely intervention impossible.

03

Care Coordination Disrupted

Coverage lapses interrupt medications, undermine care manager relationships, and escalate chronic conditions.

1.6 – 2.4×

Case Manager Efficiency Gain

Your existing team does more without adding headcount.

■ “Smart-lists” surface the right members faster than monthly state files

■ Longer lead times allow your teams to work smarter and more effectively

■ First Smart-list from MCO data: 15 days known state - 90 days new state

Member Impact

Prevent avoidable member loss and disrupted care for your most vulnerable populations.

Financial Impact

Protect capitation revenue and navigate policy changes hitting your top and bottom line.

Operational Impact

Turn member risk data into prioritized, actionable work for your existing care managers.