Success Stories

The Medicaid managed care organization (MCO) was losing members erroneously as part of Medicaid unwinding after the Public Health Emergency.  The MCO engaged Agilian to help them recover and retain members in long-term care.

Agilian partnered a Medicaid managed care organization (MCO) to execute a comprehensive Digital Transformation Plan aimed at enhancing IT and data exchange capabilities. This initiative improves the experiences of employees, enrollees, and providers, while ensuring compliance and operational efficiency.

Agilian partnered with the Medicaid department to modernize their eligibility system for Medicaid and CHIP using the Modified Adjusted Gross Income (MAGI) rules. Through extensive quality assurance and collaboration with vendors, Agilian refined the system to ensure high accuracy, achieving a 95% success rate in test cases.

Agilian developed an IT integration roadmap for a healthcare system acquired by a children's hospital, ensuring a smooth merger while adapting to new regulatory requirements.

Agilian successfully transformed a state-based Health Insurance Marketplace, enabling it to meet critical ACA deadlines and maintain its federal charter.

Agilian led the successful middleware upgrade of a state healthcare marketplace, ensuring seamless integration across all major exchange systems and external partners, including federal agencies and local entities.

Agilian partnered with a regional child welfare agency to modernize its outdated technology systems, essential for administering vital services to thousands of vulnerable children.

Agilian successfully led the rapid transition of a state Child Support Agency's services from in-person to a fully virtual platform within 30 days, in response to the COVID-19 pandemic.