Case Study: Independent Local Public Agency achieves 50% postage savings with RR Donnelley

Public Agency Replaces Medicaid Kitting and Fulfillment Vendor to Scale Effectively

An independent local public agency in California turned to RR Donnelley (RRD) for help scaling its Medicaid kitting and fulfillment operations. As the state’s population grew, the agency’s existing vendor could not keep up with increasing volume, and manual data processing was straining internal resources while making it difficult to meet regulatory deadlines and reporting requirements.

RR Donnelley implemented an automated healthcare fulfillment workflow using secure FTP data transfer, split production across facilities for ID card printing and kit fulfillment, and optimized kit configurations with offset and digital print. By commingling kits and leveraging nationwide logistics, RRD cut postage spend per piece by 50% and delivered $1.5 million in first-year savings across 750,000 kits, while also improving audit tracking and supporting translation, alternate formats, and 508-compliant materials.