Products & Services

Reduce risk. Identify cost-containment strategies. Improve care delivery.

Telligen’s Medicaid solutions address the unique challenges facing state governments and their health and social services agencies. Whether challenges relate to cost-containment, reimbursement, care coordination or clinical quality improvement; Telligen works directly with states to identify opportunities for improvement and implement effective solutions.

Telligen’s state Medicaid solutions and services can be included as part of a comprehensive health management program or deployed as independent intervention strategies.

Utilization Management
Programs covering inpatient, outpatient, behavioral health and home and community-based settings to ensure members receive the right care, in the right place, at the right time.
Information Technology
Modular, flexible solutions that use data warehousing and advanced analytics to arm Medicaid administrators with the tools and information they need to improve health outcomes and contain costs.
Care Management
Strategies that achieve cost-containment by pairing high-risk members with licensed health coaches to form individualized care plans and coordinate care across multiple providers.
 – Population Health Management
 – Disease Management
 – Care Coordination
Consulting
Solutions that help agencies translate complex healthcare data into meaningful insights that tell stories, guide decision-making and build healthier communities. 
Quality Improvement
Innovative and outcome-focused solutions that help providers transform clinical processes and improve compliance with evidence-based care guidelines.
 – Practice Transformation
 – Clinical Performance Measurement
 – Patient-Centered Medical Home
 – HCBS Provider Quality Monitoring
 – Education & Technical Assistance
Member Assessments
Conflict-free assessments and evaluations that accurately determine care and services needs for members receiving long-term services and supports.
 – Core Standardized Assessments
 – Level of Care Determinations
 – Person-Centered Care
 – Conflict-Free Case Management
Products & Services
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