Findhelp Unveils First Comprehensive Digital System for Medicaid Compliance

Findhelp Launches Groundbreaking Digital System for Medicaid Compliance



In a significant advancement for social care technology, Findhelp has recently unveiled its innovative end-to-end digital system that aims to streamline compliance with the newly implemented community engagement requirements for Medicaid, as authorized under H.R. 1. This launch comes at a crucial time as states gear up to enforce these federal mandates starting in January 2027.

Findhelp, the leading social care platform in the nation, through its integration of Uno Health, presents a connected and comprehensive solution designed to alleviate the administrative burden on states while protecting health coverage for millions of Americans.

The Need for a Unified Approach


With the anticipated introduction of new documentation and verification rules affecting roughly 20 million Medicaid expansion members, the challenges posed to states are considerable. Without an integrated and modern system, the strain on administrative resources could escalate dramatically. Currently, the estimated costs of procedural reenrollment range between $400 to $600 per case, contributing to an annual administrative burden of $4 to $6 billion.

Through its integrated solution, Findhelp is tackling these challenges head-on, transforming a fragmented and compliance-heavy process into a streamlined experience that prioritizes beneficiaries. Erine Gray, the CEO and Founder of Findhelp, emphasized the urgency to adapt to the new requirements, highlighting the confusion caused by fragmented systems which may lead to compliance issues and undesirable costs.

Features of the New Solution


Findhelp’s innovative platform facilitates a more efficient navigation through the Medicaid enrollment maze by offering several key benefits:

1. Lowering Costs through Efficient Engagement
By automating the screening for hardship waivers and exemptions using integrated data, the platform significantly reduces the time taken for eligibility checks to just 60–90 seconds. Targeted communication strategies ensure proactive engagement with members most at risk of losing their coverage, leading to up to a 75% reduction in administrative workload.

2. Unifying the Administrative Ecosystem
The solution connects various stakeholders such as state agencies, Managed Care Organizations (MCOs), and navigators through a standardized portal. This integration provides access to Findhelp’s network, consisting of over 960,000 verified community programs, enhancing referral and support services significantly.

3. Fostering Self-Sufficiency
The platform prioritizes transforming compliance processes into opportunities for personal growth, linking individuals to crucial resources including employment, training, and childcare. Customizable member journeys promote personalized engagement, ensuring every step is thoroughly documented and compliant with relevant standards.

A Roadmap for Implementation


Findhelp has developed a four-phase implementation framework to effectively launch this digital solution:
  • - Configure and Align: State-specific policy rules and compliance standards are integrated into the platform.
  • - Activate the Network: Engage with community organizations to build relevant pathways for engagement.
  • - Launch and Validate: Pilot programs with targeted populations to ensure seamless rollout.
  • - Scale and Optimize: Utilize real-time data to scale and refine operations, maximizing impact.

Gray emphasizes that states do not require another costly IT venture; what they indeed need is an accessible, ready-to-implement partner. By capitalizing on Findhelp’s robust infrastructure, states can meet upcoming compliance deadlines while safeguarding coverage and enhancing self-sufficiency for citizens.

Conclusion


Findhelp is leading the charge in revolutionizing social care through its comprehensive digital platform, ensuring that critical compliance is achieved effectively and humanely. As states prepare for the new regulatory environment regarding Medicaid, Findhelp stands ready with innovative solutions that promise to make a difference for millions across the United States. For more information, visit Findhelp.

Topics Health)

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