Medicaid Health Plans Save Millions by Moving from Auto-Assignment to Smart-Assignment

Medicaid Health Plans Save Millions by Moving from Auto-Assignment to Smart-Assignment

SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) and healthcare researchers (such as Yale University) performed studies that show a 350,000 member Medicaid health plan will save between $2 million and $15 million annually by moving from auto-assignment to smart-assignment. Over a billion dollars are saved across all Medicaid health plans.

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Western Region Health System Works with CCGroup to Improve Clinically Integrated Network Efficiency and Reduce Losses on Capitation Arrangements

Western Region Health System Works with CCGroup to Improve Clinically Integrated Network Efficiency and Reduce Losses on Capitation Arrangements

SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) is working with a Western Region health system to improve the efficiency of the system’s clinically integrated network (CIN). “Our client’s CIN was built on quality and access to deliver healthcare to 170,000 capitated ACO REACH and Medicare Advantage patients,” stated Dr. Douglas G. Cave, President of CCGroup. “Little attention was paid to specialists’ efficiency in managing to a global budget – until losses began mounting over several years.”

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