Case Study: Managed Medicaid Population Health Management achieves 15% quality improvement and $1.5M+ in savings with SCIO Health Analytics

Medicaid Population Health Management - Customer Case Study

Medicaid Population Health Management, a regional health system made up of a Medicaid plan, hospitals and a hospital-owned physician network, needed to quantify population risk, prioritize medical and behavioral conditions, tailor engagement to member characteristics, align internal resources and track program quality. SCIO Health Analytics partnered with the system (and a third party under a CMS grant) to provide advanced analytics, an integrated data warehouse and population health management services to meet these challenges.

SCIO Health Analytics built an integrated data warehouse in eight weeks, created member profiles with current and prospective risk scores, prioritized conditions (maternity, premature infants, asthma, diabetes, depression), and collaborated with a third‑party engagement group to drive targeted interventions and outreach. The work delivered measurable impact: a 15% improvement in quality measure compliance, more than $1.5M saved from a customized maternity program, increased nurse productivity through focused care management, and faster identification, prioritization and ROI reporting.