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Government

Advanced healthcare data and analytics solutions for state and local government

We partner with Medicaid agencies to create outcome-based population health management solutions that promote whole-person care, improve quality, meet reporting requirements, and reduce healthcare disparities.

A data analytics platform for Medicaid programs

Support quality improvement programs, track and report on measure performance, and enable data-driven population health programs across stakeholders.

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The challenge

50 states with 50 different approaches to population health and value-based care

Providing equitable, effective healthcare for Medicaid recipients involves numerous stakeholders with different priorities at every level, from CMS to state legislatures to providers on the ground. Gathering the information that’s relevant to each — and filtering out what’s not — can create major operational hurdles, wasting valuable time on interpreting and sharing data. And if you can’t prove a program is delivering on its promises, its funding may be at risk.

The solution

A whole-person, outcome-based data and analytics solution for your state’s specific needs

A partner that can meet you where you are and enable you to reach your goals around quality of care, patient stratification, health equity, and other areas of focus. Unify disparate data sources, get a more comprehensive view of patients, and power models, algorithms, reports, and dashboards to make better informed decisions.

Medicaid agencies analytics advantages

Break through data silos

Transform disparate information into a longitudinal view of patients. Supplement claims and encounter data with clinical records, gain insights into Social Determinants of Health (SDoH) and more to create an accessible source for whole-person care.

Drive innovation

Unlock collaboration across your agency, managed care plans, providers, and partners to engage members effectively. Tap into advanced machine-learning analytics to track new insights and trends that identify and strengthen areas of improvement.

Latest Resources

How we're making a difference for our customers

See all posts
Insight How to make the most of value-based care contracts
Medicare Advantage (MA) policy changes are shaping modern healthcare, and the Centers for Medicare & Medicaid Services (CMS)’s goal of enrolling 100% of Traditional Medicare...
Value-Based Care
Webinar The value of data: How to optimize performance, grow provider networks, and improve patient care
Discover how top ACOs use data to boost performance, grow networks, and improve care. Learn practical tactics from Tandigm, Arcadia, and new HIMSS research.
Accountable Care Patient Outcomes
Event AHIP 2025 Conference
Arcadia is heading to Las Vegas for AHIP 2025, where leaders from across the payer ecosystem come together to shape the future of healthcare. Join us at Booth #1620 to explore how we...
Healthcare Analytics Risk Management Value-Based Care
Insight 6 keys that drive success in value-based care
Discover how a balanced framework for value-based care — combining strategies to drive revenue with tactics to manage costs — can lead to real success in healthcare. Dr. Luke Hansen...
Value-Based Care Healthcare Analytics
Event APG Spring Conference 2025
We’re headed to San Diego for the America’s Physician Groups Spring Conference — one of the premier gatherings for physician groups advancing value-based care. Join Arcadia on-site to...
Value-Based Care Healthcare Analytics
Insight What the 2026 Medicare Advantage rate update means for payers and providers
The Centers for Medicare and Medicaid Services (CMS) finalized its 2026 Medicare Advantage (MA) rate notice, and it sends a clear signal: the agency is recalibrating expectations for...
Value-Based Care Risk Adjustment Healthcare Analytics
“”

We chose Arcadia because their product seemed to be the best balance of newer architecture and technology with rich, real-world functionality that was strong in general purpose analytics, data science, perspective health status assessment, and quality management. And Arcadia had really outstanding leadership in terms of the knowledge of the business. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well.

CEO/President, SEPTEMBER 2022
Source: klasresearch.com

A data analytics platform for Medicaid programs

Support quality improvement programs, track and report on measure performance, and enable data-driven population health programs across stakeholders.

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Products
  • Data Platform
  • Customer Insights Team
  • Arcadia Marketplace
Applications
  • Analytics Dashboards
  • Benchmark Reporting
  • Care Management
  • Contract IQ
  • Healthcare Data Model
  • Network Modeler
  • Patient Engagement
  • Patient Stratification
  • Point-of-Care Insights
  • Provider-Payer Collaboration
  • Referral Management
  • Report Distribution
  • Risk Suspecting EHR Integration
  • SDoH Package
Use Cases
  • Care Management
  • Data Management and Quality
  • Health Equity and SDOH
  • Healthcare Analytics
  • Healthcare IT
  • Interoperability
  • Medical Cost Containment
  • Patient Engagement
  • Patient Outcomes
  • Patient Retention
  • Population Health Management
  • Quality Improvement
  • Quality Management for Payers
  • Risk Adjustment
  • Risk Management for Payers
  • Value-Based Care
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