Here's What Staying Ahead of Redeterminations Is Worth.
Agilian provides clear, actionable smart lists that help your MCO keep every eligible member you can.
Agilian provides clear, actionable smart lists that help your MCO keep every eligible member you can.
Outreach is a key part of retention. But if you wait until the moment of contact to figure out who’s at risk, you’re starting too far downstream.
The result: wasted effort, missed opportunities, and more members lost.
Medicaid unwinding cut into your member rolls. Next comes CMS-2454-IFC: six-month redetermination cycles and new work requirement checks, on top of the same broken data flows that caused the last wave of losses.
States will likely fund member communications first, leaving data problems unresolved and plans exposed again.
Plans that fix the data gap now keep more members through every cycle that follows.
Agilian separates the good from the bad, giving MCOs the information they need to address disenrollments before they happen.
That means more members kept. More revenue protected. And less harm to the people who rely on you most.
MCOs who work with Agilian improve their double bottom line.
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