Medicaid Transformation Archives - uniteus.com https://uniteus.com/topic/medicaid-transformation/ Software Connecting Health and Social Service Providers Tue, 28 Apr 2026 13:37:49 +0000 en-US hourly 1 https://wordpress.org/?v=7.0.2 https://uniteus.com/wp-content/uploads/2022/06/uniteus-favicon-150x150.png Medicaid Transformation Archives - uniteus.com https://uniteus.com/topic/medicaid-transformation/ 32 32 Unite Us and Ready Computing Announce Strategic Partnership to Advance Integrated Health and Community Care Coordination Across New York State and Beyond https://uniteus.com/press/unite-us-and-ready-computing-announce-strategic-partnership-to-advance-integrated-health-and-community-care-coordination-across-new-york-state-and-beyond/ Mon, 27 Apr 2026 14:00:12 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=12264 Partnership enhances data exchange for nation’s largest 1115 Medicaid waiver implementation and establishes a replicable model for interoperable, statewide infrastructure in line with CMS’ vision for value-based, digital first healthcare  NEW YORK, April 28, 2026 – Unite Us and Ready Computing today announced a strategic partnership designed to strengthen service provider coordination and standardized data...

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Partnership enhances data exchange for nation’s largest 1115 Medicaid waiver implementation and establishes a replicable model for interoperable, statewide infrastructure in line with CMS’ vision for value-based, digital first healthcare 

NEW YORK, April 28, 2026Unite Us and Ready Computing today announced a strategic partnership designed to strengthen service provider coordination and standardized data exchange across New York State’s health and community care system. By combining Unite Us’ proven closed-loop referral and payments capabilities with Ready Computing’s interoperability expertise, the partnership delivers a standards-aligned, scalable approach to integrating health and community-based services.

The partnership is anchored in New York’s 1115 Medicaid waiver—the largest and most ambitious program of its kind in the country—where the organizations are already working together to meet complex requirements for data exchange, provider connectivity, and outcomes reporting across a large and diverse network.

“This partnership is about more than connecting systems, it is about coming together to advance the industry by creating the infrastructure that communities, providers, and states need to truly work as one and prove their impact,” said Taylor Justice, CEO of Unite Us. “What we are building with Ready Computing in New York demonstrates what that can look like at scale, serving as a blueprint for how states can modernize care coordination without disrupting the providers and communities who depend on it.”

“Interoperability is only meaningful if it works in the real world,” said Michael LaRocca, Founder and CEO of Ready Computing. “Together, we’re building a foundation that connects complex systems, aligns with national standards, and gives providers and states the reliable data exchange they need to operate and scale with confidence.”


 

Built for the Real World

Bringing data standardization to community care is essential to generating meaningful, comparable outcomes across the healthcare system. This partnership advances industry standards while remaining flexible enough to operate across diverse state infrastructures and varied data environments.

In New York, that approach is already in action through alignment with the Gravity Project, an industry-led initiative that both organizations support that is helping ensure that data is structured and interoperable across systems. This enables more consistent data capture, stronger reporting, and greater visibility into the impact of community-based services, including the ability to demonstrate return on investment for the state’s 1115 initiative.

“Gravity Project exists to ensure that social care data is structured, standardized, and actionable across the entire care ecosystem,” said Dr. Sarah DeSilvey, Gravity Project co-founder and Terminology Director. “The work Unite Us and Ready Computing are doing in New York is exactly what our standards are built for: translating a shared framework into real-world methods that enable consistent data capture at diverse points of service, meaningful outcomes reporting, and coordinated care at scale. This is how interoperability moves from aspiration to impact.”

Just as important, this work reduces operational complexity for frontline providers. Embedding standardized data exchange into existing workflows lowers barriers to adoption across a wide range of organizations, from large health systems to community-based providers with limited technical capacity, while reducing duplicative data entry and streamlining coordination without requiring them to overhaul how they work.

“For years, providers have worked with limited resources and fragmented systems that don’t talk to each other,” said Lori Antrade, Executive Vice President at the Health Equity Alliance of Long Island (HEALI). “Streamlining how data is shared means frontline staff can spend less time making systems work and more time caring for people. It also gives the state a clearer picture of the outcomes these services are driving.”

At the same time, state agencies gain the structured, real-time data they need to measure impact, demonstrate outcomes, and make the case for sustained investment in community care.


A Replicable Model for the Nation

By combining interoperability with real-world usability, the partnership demonstrates how states can modernize data exchange without disrupting existing provider workflows. The framework is technically rigorous, standards-aligned, and adaptable across states with varying infrastructure, policy environments, and levels of system maturity. 

“This collaboration between Unite Us and Ready Computing is going to allow seamless data sharing across ecosystems, including health care providers, CBOs, and New York State, which is key in connecting communities facing barriers to services that are essential for a healthy life,” said Lynne Olney, Chief Transformation Officer at Healthy Alliance. “Having this data readily available throughout the entire care continuum allows visibility into each step of the member journey, ensuring every member gets the right service at the right time, and helps demonstrate the value and outcomes associated with whole-person care.”

The implementation in New York shows how this approach can support large-scale statewide initiatives, enabling consistent data exchange, strengthening coordination across health and community-based organizations, and generating the insights needed to measure outcomes at scale. In doing so, it provides a practical blueprint for states advancing more integrated, interoperable systems, expanding existing Health Information Exchanges to incorporate statewide Community Information Exchange models.

“Health information exchanges create the pathways for data to move across the healthcare ecosystem,” said Todd Rogow, CHCIO, President & Chief Executive Office at Healthix. “Healthix plays that role in New York by enabling secure, trusted exchange, while the Unite Us and Ready Computing collaboration strengthens how that data is integrated and applied to advance whole person care.” 

As CMS continues to prioritize accountability for healthcare outcomes and technology spend, this model provides a clear path forward. It reflects growing federal emphasis on integrated, interoperable systems and demonstrates how public-private collaboration can translate policy into operational reality by bridging healthcare and community care while building the data infrastructure needed to sustain long-term impact.

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Gainwell Announces Enhanced Community Engagement Verification Platform with AI Precision Matching and New Innovation Ecosystem https://uniteus.com/press/gainwell-unite-us-partnership/ Wed, 19 Nov 2025 15:00:09 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=10849 Modular platform advances predictive algorithms, and integrates Argyle, Databricks, FindHelp, Fortuna Health, and Unite Us to support work requirements and improve the member experience   IRVING, Texas, November 20, 2025— Gainwell Technologies announced a major expansion of its Gainwell CEV platform, introducing a next-generation AI-driven matching engine that achieves 99.5 percent accuracy in Medicaid eligibility verification....

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Modular platform advances predictive algorithms, and integrates Argyle, Databricks, FindHelp, Fortuna Health, and Unite Us to support work requirements and improve the member experience  

IRVING, Texas, November 20, 2025— Gainwell Technologies announced a major expansion of its Gainwell CEV platform, introducing a next-generation AI-driven matching engine that achieves 99.5 percent accuracy in Medicaid eligibility verification. The enhanced platform also integrates a leading innovation partner network that seamlessly plugs into the verification journey. This enhanced ecosystem strengthens how states support individuals completing Medicaid community engagement and work requirements while improving the member experience and operational efficiency.

The new matching engine uses 40 advanced algorithms across all relevant data sources to increase confidence in identity verification and reduce the need for member outreach by maximizing data-based verifications.

“AI-powered data matching is transforming how states manage verification,” said Bill Allison, Gainwell Chief Client Officer. “By advancing the intelligence of the CEV platform and connecting it with a purpose-built ecosystem of partners, we are helping agencies verify more information through data, reduce manual intervention, and give individuals a clearer, more supported path to completing their requirements.”

Built on decades of eligibility and verification expertise, the expanded CEV platform now incorporates mobile-first workflows, guided engagement tools, automated verification of volunteerism hours, AI-based employment opportunity tools, and flexible APIs that enable partners to connect directly into the verification pathway—creating a unified experience for members and state agencies.

As part of the platform expansion, Gainwell is collaborating with partners whose capabilities align with and enhance the verification journey:

  • Argyle – Brings a critical link in income verification through state-of-the art, user-permissioned verification technology, with connections to payroll providers, gig employers, and banking institutions.
  • Databricks – Provides a scalable, compliant, and governed Data Intelligence Platform that unifies every data source, automates data quality and matching, and enables efficient verification with cutting-edge AI models to help protect program continuity for eligible beneficiaries. 
  • FindHelp – Delivers nationwide infrastructure for eligibility, enrollment, redetermination, and community-engagement compliance. Its benefit enrollment technology and referral network of 960,000 program locations used by 70% of Medicaid MCOs enable states to automate verification, reduce administrative work, and guide individuals to qualifying work, training, and volunteer opportunities with real-time documentation.
  • Fortuna Health – Provides mobile-first guided navigation support for eligibility, enrollment, renewal, and transitions between programs. Personalized outreach, multilingual assistance, and simplified document submission reduce friction and help increase completion rates. Fortuna operates in more than nine states and is backed by Andreessen Horowitz, BoxGroup, and Y Combinator.
  • Unite Us – Leverages predictive analytics and a proprietary, platform-agnostic Self Sufficiency Score to guide triage and target outreach. Closed-loop referrals connect members to services across agencies and partners, with outcomes securely tracked. Approver-verified hours are delivered to state systems for automated verification. Gainwell CEV can layer Unite Us alongside existing discovery tools or as an end-to-end solution.

Gainwell has more than five decades of experience supporting health and human services programs and more than 70 million Medicaid members nationwide. The enhanced version of Gainwell CEV reflects this experience by helping agencies improve accuracy, streamline processes, and strengthen engagement with the communities they serve.

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Rural Health: A Guide for Digital Health Transformation https://uniteus.com/webinar/rural-health-a-guide-for-digital-health-transformation/ Fri, 12 Sep 2025 15:23:50 +0000 https://uniteustailstg.wpengine.com/?p=9418 In this timely webinar hosted by Unite Us, leading voices in rural health transformation unpack how states, community-based organizations, and healthcare providers can harness federal funding and digital infrastructure to build healthier, more resilient rural communities. With Missouri’s groundbreaking ToRCH model as a blueprint, we explore how trust, technology, and cross-sector collaboration can reshape rural...

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In this timely webinar hosted by Unite Us, leading voices in rural health transformation unpack how states, community-based organizations, and healthcare providers can harness federal funding and digital infrastructure to build healthier, more resilient rural communities. With Missouri’s groundbreaking ToRCH model as a blueprint, we explore how trust, technology, and cross-sector collaboration can reshape rural health systems. Featured panelists include:

Learn more about how to:

  • Build cross-sector partnerships between hospitals, providers, and CBOs that break down silos and strengthen local leadership.
  • Leverage technology and data for real-time coordination, measurable outcomes, and smarter strategies.
  • Design for sustainability through models like ToRCH’s shared savings approach that reinvest in rural systems.

Key Takeaways:

  • Practical lessons from Missouri’s ToRCH model that demonstrate the power of community-led innovation.
  • Insights into how technology can strengthen trust, streamline coordination, and create lasting impact.
  • Strategies for building sustainable, resilient rural health systems that keep communities at the center.
Whether you’re a policymaker, state health leader, or nonprofit partner, this session will equip you with concrete strategies to prepare for the RHTF and drive long-term transformation in your rural communities.

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Cost-savings (finally) within everyone’s reach: Proactive, whole-person care https://uniteus.com/press/cost-savings-finally-within-everyones-reach-proactive-whole-person-care/ Tue, 29 Jul 2025 14:22:03 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=9209 The post Cost-savings (finally) within everyone’s reach: Proactive, whole-person care appeared first on uniteus.com.

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Study: Ohio’s Benefit Bridge Program Projects $21 Million in Savings, Summit County Partners with Unite Us to Deliver Real Results for Constituents https://uniteus.com/press/summit-county-partners-with-unite-us/ Wed, 28 May 2025 14:00:57 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=8847 By streamlining operations to advance coordination and delivery of community-based services, Summit County’s NEXT program is freeing up hundreds of staff hours, boosting efficiency, and paving the way for substantial long-term cost reductions. NEW YORK, MAY 28, 2025 – A compelling new case study highlights the remarkable success of Summit County, Ohio’s Benefit Bridge program,...

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By streamlining operations to advance coordination and delivery of community-based services, Summit County’s NEXT program is freeing up hundreds of staff hours, boosting efficiency, and paving the way for substantial long-term cost reductions.

NEW YORK, MAY 28, 2025 – A compelling new case study highlights the remarkable success of Summit County, Ohio’s Benefit Bridge program, known as NEXT, an initiative dedicated to supporting working families on their path to self-sufficiency, run by the Department of Job and Family Services (DJFS). The NEXT program’s partnership with Unite Us, the nation’s trusted technology partner for integrating health and community-based care, has proven instrumental in achieving this success.

Using Unite Us’ platform, the department has implemented strategic operational improvements projected to deliver significant financial benefits for Summit County, including up to $21 million in projected taxpayer savings over the next decade. It also demonstrates the potential to generate up to $6.8 million in additional lifetime tax revenue for the State of Ohio for each annual Summit County cohort served. With 88 counties in Ohio, this program represents a major potential source of added tax revenue if scaled across additional counties.

County Executive Ilene Shapiro and Summit County DJFS launched the NEXT program to support working families as they increase their wages and transition off public assistance. Recognizing the challenges of coordinating services and managing data across multiple partners through manual processes like phone calls, emails, and spreadsheets, the county implemented Unite Us’ platform in August 2023.

The results have been transformative. Having a secure, centralized system for client data sharing, closed-loop referrals, invoice tracking, payment distribution, and detailed reporting, the department has directly addressed previous inefficiencies that resulted in delays of critical assistance to program recipients and distributed nearly $200K to community organizations for delivering services to participants. It has also empowered the staff, demonstrably reducing staff administrative burdens to free up nearly 600 hours of valuable work time. Surveys reveal reductions in stress related to documentation and a marked increase in confidence in connecting clients to vital resources through transparency and accountability. This newfound efficiency translates to a greater capacity to serve more individuals more effectively.

“Unite Us offered a solution for online collaboration among agencies, allowing them to share client data and track outcomes,” said Terri Burns, director, SCDJFS.  “It also provided a platform and process for us to easily determine incentive structures and payment amounts to assist and pay our clients.”

Key findings from the case study underscore the impressive gains in efficiency and cost savings:

  • Significant Time Savings: The implementation of Unite Us has dramatically reduced the time spent on administrative tasks by 591 hours, particularly in processing client payments, allowing program staff to dedicate more time to direct client support and engagement.
  • Increased Productivity: 88% of Summit County end users reported that Unite Us improved program capacity through operational efficiency gains. The platform increased the team’s productivity by streamlining workflows and improving communication.
  • Streamlined Billing Workflows: Using Unite Us’ billing solution, the department distributed $190K to community-based organizations that are delivering critical workforce development services.
  • Projected Cost Savings: Through reduced administrative overhead and decreased reliance on public benefits, the partnership between NEXT and Unite Us is projected to save Ohio taxpayers an estimated $9.2 million over the next three years, $12.5 million over the next five years, and $21 million over the next 10 years.
  • Increased Tax Revenue: Realized through increased wages and associated increased state taxes, the NEXT program and Unite Us are projected to generate an additional $6.8 million in lifetime tax revenue for the State of Ohio, for each annual cohort served.

“In today’s environment, maximizing every taxpayer dollar and ensuring our dedicated public servants can work as efficiently as possible is paramount,” said County Executive Shapiro. “The success of the NEXT program, powered by Unite Us, demonstrates how strategic investments in technology can lead to significant cost savings, boost staff productivity, and ultimately deliver better outcomes for our community.”

This case study serves as a compelling example of how technology can be a powerful tool for government agencies seeking to enhance efficiency, reduce costs, and improve the lives of the people they serve. Summit County’s experience offers valuable insights for other jurisdictions looking to optimize their social service programs.

“At Unite Us, we believe in building sustainable solutions that deliver real results, said Taylor Justice, co-founder and president at Unite Us. “The success of the Ohio NEXT program in Summit County demonstrates how our technology enables efficient resource allocation and generates significant long-term cost savings. More importantly, it’s about creating a streamlined system that effectively supports individuals in achieving self-sufficiency, fostering stronger and more resilient communities.

Lessons Learned:

The success of Summit County’s NEXT program provides important guidance for communities seeking to improve social service delivery and maximize their investments. A key takeaway is the effectiveness of a centralized, collaborative technology platform in addressing fragmented service systems. By implementing Unite Us’ platform, the sharing of data, management of cases, and processing of payments became seamless, significantly reducing administrative tasks and expediting support for individuals.

Key Takeaways:

  • Data-Driven Approach Enables Accountability: Utilizing technology to track key outcomes is essential for demonstrating program effectiveness and identifying areas for improvement.
  • Strategic Technology Drives Significant ROI: Investing in the right technology can lead to substantial long-term cost savings and improved resource allocation.
  • Efficiency Gains Free Up Valuable Staff Time: Automating administrative tasks allows caseworkers to dedicate more time to direct client support and engagement.
  • Collaboration is Key to Improved Outcomes: A shared technology platform fosters better communication and coordination among partner agencies, leading to enhanced client outcomes and pathways to self-sufficiency.

All non-profit community-based organizations can use Unite Us’ platform free of charge. Contact us to learn more: uniteus.com/contact/.

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Study: Ballad Health Reduces Emergency Department Visits by Nearly 25%, Saves $68 PMPM with Unite Us https://uniteus.com/press/ballad-health-study/ Wed, 21 May 2025 04:00:13 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=8770 Ballad Health achieved an estimated $68.80 per member per month savings by using Unite Us’ closed-loop referral system to provide integrated care. NEW YORK, MAY 21, 2025 –  A newly released study analyzed the financial impacts and health outcomes that result when community health workers (CHWs) refer patients to services within their community using Unite...

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Ballad Health achieved an estimated $68.80 per member per month savings by using Unite Us’ closed-loop referral system to provide integrated care.

NEW YORK, MAY 21, 2025 –  A newly released study analyzed the financial impacts and health outcomes that result when community health workers (CHWs) refer patients to services within their community using Unite Us’ closed-loop referral system. Connecting patients with support ranging from healthcare navigation to food assistance reduced emergency department (ED) visits by nearly 25% among patients with documented health-related social needs (HRSNs) or non-medical needs. This generated an estimated annualized cost savings of $825,600 per 1,000 patients—or $68.80 per member per month (PMPM).

The study was a collaboration among Ballad Health, Virginia Hospital & Healthcare Association (VHHA), Institute for Public Health Innovation, and Unite Us, the nation’s trusted technology partner for integrating health and community-based care. The patients were served within the Unite Virginia network.

“This study is yet another data point demonstrating that proactive, non-medical service coordination reduces overall costs while also improving patient outcomes,” said Halima Ahmadi-Montecalvo, vice president of research and evaluation at Unite Us. “A critical factor in the success of such efforts is a true closed-loop—having a way to ensure the patient receives what they need when they need it. Only then can it be effective.”

By facilitating the coordination and delivery of key HRSNs or non-medical needs–such as benefits navigation, food assistance, or shelter–Unite Us helped reduce ED visits by 21 per 1,000 patients in clients served by Ballad Health in Southwest Virginia.

“This evaluation reinforces what we have long known—addressing non-medical drivers of health is not just the right thing to do, it’s a healthcare imperative,” said Paula Masters, chief health disparities officer at Ballad Health. “Unite Us’ closed-loop referral technology enables us to go far beyond making referrals—we can securely track whether services were delivered and measure the impact in real-time. That visibility is critical. It allows our teams to close the loop on care, target interventions more effectively, and ultimately improve outcomes while reducing unnecessary ED utilization. We’re not just coordinating services—we’re creating accountability, efficiency, and measurable change across our communities.”

Bridging Healthcare and Social Services for Whole-Person Care
Recognizing the need for stronger coordination between health and community care systems, the Virginia Department of Health (VDH), in collaboration with VHHA, and other statewide partners launched Unite Virginia—a coordinated, technology-driven referral network improving Virginians’ access to receive the right care at the right time. Since its inception in December 2020, Unite Virginia has facilitated connections for more than 66,000 individuals, with over 3,000 partner programs spanning all 133 Virginia localities.

“Bridging the gaps between health and community care are critical to ensuring health and safety for all Virginians,” said Reisa Sloce, district director for VDH’s LENOWISCO and Cumberland Plateau Health Districts. “Through use of this framework, many local partners have provided essential services to Virginians in need, which is helping to reimagine how whole-person care can be delivered across the Commonwealth.”

Impactful Outcomes Through Strategic Collaboration
This study analyzed data from January 2020 to September 2024, linking Ballad Health’s UB-04 institutional claims form and utilization data with standardized referral data from Unite Us. Of the 1,019 unique patients identified, 873 had six months of healthcare utilization data available both before and after receiving a referral. The results were compelling:

  • 16.2% average decrease in ED visits for all tracked patients in the six months following a referral
  • For patients who received a referral and were engaged by Ballad Health CHWs, average ED visits decreased by 24.8% in the following six months
  • $825,000 in estimated annualized cost savings per 1,000 patients, or an estimated $68.80 PMPM savings, based on reduced ED utilization alone.

Scaling Success for a Healthier Virginia
The success of Unite Virginia highlights the power of collaboration in strengthening healthcare delivery. With a robust network of partners and data-driven insights, Unite Us helps health systems, payers, and policymakers make informed decisions about resource allocation and program investments.

“Taking a comprehensive, team approach to meeting patients’ needs is an effective strategy to help achieve improved health outcomes and avoid unnecessary medical costs,” said Sean T. Connaughton, CEO and President of Virginia Hospital & Healthcare Association. “Community Health Workers are essential members of the health delivery system who are well-positioned to refer patients to support services and help them navigate clinical journeys. The results of this case study, by showing how CHW involvement benefits patients while avoiding unnecessary emergency department visits, demonstrates the value of this team approach.”

As Virginia continues to advance its healthcare transformation efforts, these findings will serve as a model for other states looking to implement sustainable, impactful solutions for addressing high healthcare costs and patient outcomes.

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Unite Us to Showcase ROI-Driven Social Care Strategies at HIMSS 2025 https://uniteus.com/press/unite-us-to-showcase-roi-driven-social-care-strategies-at-himss-2025/ Mon, 03 Mar 2025 14:49:15 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=8239 The market leader session highlights partnership success with North Carolina DHHS and First 1,000 Days Suncoast on scaling SDOH impact through technology, proven ROI and collaboration NEW YORK, MARCH 3, 2025, 2025 – Unite Us, the nation’s trusted technology partner for social care transformation, will be a key participant and presenter at the HIMSS 2025...

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The market leader session highlights partnership success with North Carolina DHHS and First 1,000 Days Suncoast on scaling SDOH impact through technology, proven ROI and collaboration

NEW YORK, MARCH 3, 2025, 2025 – Unite Us, the nation’s trusted technology partner for social care transformation, will be a key participant and presenter at the HIMSS 2025 Global Health Conference & Exhibition, the world’s leading event for healthcare innovation. 

The highlight of Unite Us’ presence at HIMSS 2025 will be the presentation, “SDOH Program Design, Technology, Data, and Evaluation that Drives ROI” taking place: 

Tuesday, March 4, 2025 | 2:00 – 3:00 PM PST

Venetian | Level 5 | Palazzo J

Featured Speakers:

  • Halima Ahmadi-Montecalvo, PhD, MPH, Vice President of Research & Evaluation, Unite Us
  • Jay Ludlam, JD, Deputy Secretary for NC Medicaid, North Carolina Department of Health and Human Services (NCDHHS)
  • Chelsea Arnold, DNP, APRN, First 1,000 Days Initiative Director, First 1,000 Days Suncoast, Sarasota Memorial Health Care System (SMH)

This session will showcase how Unite Us’ partners have achieved meaningful and measurable improvements in their communities by integrating Social Drivers of Health (SDOH) program design with technology and data-driven evaluation. The discussion will explore best practices in health and social care network integration, highlighting real-world success stories from the North Carolina Department of Health and Human Services and the First 1,000 Days Suncoast, which is sponsored by Sarasota Memorial Health Care System.

A recent JAMA study reinforces the financial and health benefits of investing in social care infrastructure, highlighting how North Carolina’s Healthy Opportunities Pilots (HOPs) program—designed to address health-related social needs (HRSNs)—led to a monthly Medicaid spending reduction of $85 per beneficiary and significant decreases in inpatient and behavioral healthcare costs.

 “By prioritizing collaboration and data-driven decision-making, we can enhance healthcare efficiency and drive lasting positive outcomes,” said Halima Ahmadi-Montecalvo, vice president of research & evaluation at Unite Us. “We’re excited to demonstrate how our technology infrastructure has enabled our partners to scale their reach and impact.”

Connect with Unite Us at HIMSS 2025

Beyond the speaking session, HIMSS attendees can connect with the Unite Us team to see firsthand how our technology powers scalable, high-impact programs. With record growth and measurable community impact in 2024, we remain focused on helping healthcare organizations, government agencies, and community-based providers streamline care coordination, measure outcomes, and drive sustainable SDOH solutions. Visit us at booth 2216 for live demos and insights on how Unite Us can support your health system’s goals.

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Unite Us to Be Featured on Viewpoint with Dennis Quaid https://uniteus.com/press/unite-us-to-be-featured-on-viewpoint-with-dennis-quaid/ Mon, 10 Feb 2025 17:19:58 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=8196 Unite Us to Be Featured on Viewpoint with Dennis Quaid The documentary will feature Unite Us’ ground-breaking collaboration platform that’s revolutionizing the way social care is delivered, demonstrating Unite Us’ proven effectiveness by showcasing its partnership with North Carolina’s Healthy Opportunities Pilot program. NEW YORK—FEBRUARY 10, 2025—Unite Us, the nation’s leading technology partner for social...

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Unite Us to Be Featured on Viewpoint with Dennis Quaid

The documentary will feature Unite Us’ ground-breaking collaboration platform that’s revolutionizing the way social care is delivered, demonstrating Unite Us’ proven effectiveness by showcasing its partnership with North Carolina’s Healthy Opportunities Pilot program.

NEW YORK—FEBRUARY 10, 2025—Unite Us, the nation’s leading technology partner for social care transformation, will be featured in an upcoming segment on Viewpoint with Dennis Quaid. The documentary will spotlight Unite Us’ decade-long partnership with North Carolina and the recent success of its ground-breaking Medicaid waiver program, Healthy Opportunities Pilots (HOP) which has set a national standard for addressing and reimbursing for non-medical services such as food, transportation, and housing.

For nearly a decade, Unite Us has served as the technology backbone for North Carolina’s Medicaid transformation efforts, providing the infrastructure to streamline referrals, service authorizations, and reimbursements for non-medical services through NCCARE360, the statewide network connecting individuals to care, powered by Unite Us infrastructure. The Healthy Opportunities Pilot (HOP), is a five-year, $650 million effort, focused on delivering and paying for critical interventions such as housing, food security, transportation, and interpersonal safety for high-need Medicaid members.

As the nation’s first comprehensive program to assess the impact of targeted, evidence-based non-medical interventions—covering housing, food, transportation, interpersonal safety, and toxic stress—on high-needs Medicaid enrollees, HOP has improved individuals’ outcomes while demonstrating the financial sustainability of integrating social care into healthcare.

When to Watch

  • National Commercial: Airs February 12, 2025, on Fox Business Network during primetime.
  • Regional Commercial: Four broadcasts in the Top 100 U.S. markets throughout February 2025.
  • Public Television Segment: Distributed to 170+ stations nationwide starting February 10, 2025, with airings continuing through 2026.

North Carolina’s HOP: Transforming Lives and Delivering Results

The Healthy Opportunities Pilot is achieving measurable success:

*Data through Dec. 31, 2024

The documentary features the transformational impact of the DHHS’ initiative to address social drivers of health for North Carolinians by enabling seamless collaboration between government, healthcare, and community-based organizations to improve health outcomes and reduce costs.

“At the end of the day, people need access to basic essentials like food, housing, and transportation, no matter where they live, said Taylor Justice, co-founder and president of Unite Us. North Carolina sets the gold standard for tackling these challenges. Unite Us provides the technology and infrastructure to address basic needs and drive initiatives that genuinely improve lives.”

By sharing success stories like those in North Carolina, Unite Us demonstrates how technology can streamline service delivery, build capacity, proven to reduce costs, and create lasting impact across communities. North Carolina’s success has provided inspiration for other states to set their sights on ambitious Medicaid waiver initiatives, such as Oregon, New York, and Missouri with a shared goal to make these lasting benefits in Medicaid. Unite Us’ technology enables these states to build unified ecosystems, deliver actionable data insights, and scale sustainable referrals and payment solutions.

To learn more, visit  http://uniteus.com/nc-partnership .

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Missouri HealthNet Adopts Unite Us Payments, Expanding Impact of ToRCH Program to Improve Rural Health Outcomes https://uniteus.com/press/missouri-healthnet-adopts-unite-us-payments/ Tue, 07 Jan 2025 14:30:05 +0000 https://uniteustailstg.wpengine.com/?post_type=press&p=7915 Rural hospitals are using Unite Us’ Payments solution to seamlessly facilitate reimbursements for community organizations, expanding their capacity and improving outcomes for Medicaid beneficiaries. NEW YORK, JANUARY 07, 2025—Unite Us, the nation’s trusted technology partner for social care transformation, announces that Missouri HealthNet Division’s Transformation of Rural Community Health (ToRCH) program has adopted its innovative...

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Rural hospitals are using Unite Us’ Payments solution to seamlessly facilitate reimbursements for community organizations, expanding their capacity and improving outcomes for Medicaid beneficiaries.

NEW YORK, JANUARY 07, 2025Unite Us, the nation’s trusted technology partner for social care transformation, announces that Missouri HealthNet Division’s Transformation of Rural Community Health (ToRCH) program has adopted its innovative social care revenue cycle management solution. Using the Payments functionality, the ToRCH program will streamline its reimbursement processes for community organizations, enabling them to reinvest resources directly into program enhancement, leading to increased service capacity, expanded service offerings, and improved community health outcomes for rural populations.

The payments solution is fully embedded within Unite Us’ closed-loop referral platform to streamline ToRCH’s referral and reimbursement workflow. Users can send authorized referrals for reimbursable social care services directly to CBOs, tracking all service delivery and reimbursement activities without leaving the Unite Us Platform—automatically generating invoices, which are submitted to referring hospitals for timely reimbursement, increasing sustainability for service providers.

“The ToRCH program exemplifies the importance of integrating social and clinical care to address the root causes of poor health,” said Kirk Mathews, chief transformation officer at MO HealthNet. “By leveraging Unite Us’ referral and payments solutions, we empower rural providers and CBOs to deliver comprehensive care, secure sustainable funding, and enhance outcomes for Medicaid beneficiaries.”

All six rural hospitals within the ToRCH program—Bothwell Regional Health Center, Citizens Memorial Hospital, Golden Valley Memorial Healthcare, Phelps Health, Ray County Hospital and Healthcare, and Salem Memorial Hospital—have adopted the Payments solution to seamlessly allocate Medicaid funding to essential services delivered to the community, enabling a more strategic approach to rural healthcare.

By simplifying the reimbursement workflow, CBOs can expand capacity and address unique rural social needs, such as transportation, nutrition, and housing, to drive healthier outcomes for Medicaid beneficiaries. Adopting Unite Us’ Platform, the six-hospital hubs manage patient eligibility, authorize services, and track outcomes, while Unite Us ensures timely compensation for critical social care services.

The program’s emphasis on SDOH support as a primary strategy for generating shared savings has a positive impact on community organizations in various ways:

  • Localized Resource Allocation: The reimbursement model enables CBOs to directly address community challenges, such as transportation, nutrition, and housing needs, through reliable payments.
  • Improved CBO Sustainability: This approach empowers CBOs with financial support, allowing them to expand capacity, invest in infrastructure, and overcome staffing challenges.
  • Closing the Referral Loop: The Unite Us platform enables hospitals to manage referrals and track outcomes, ensuring a seamless connection between healthcare providers and social care partners.

Since June 2023, Unite Us and MO HealthNet have built the infrastructure to support ToRCH’s success. By screening for health-related social needs (HRSNs) and connecting Medicaid recipients to managed care organizations (MCOs) and funded CBOs, the program takes a holistic approach to addressing social drivers of health (SDoH), improving population health, and delivering measurable cost savings.

“Unite Us’ Payments solution simplifies and scales the reimbursement process, allowing programs like ToRCH to make a meaningful impact in rural communities,” said Raffale Breaks, chief product and technology officer at Unite Us. “This solution ensures CBOs receive financial support, enabling them to address critical needs while strengthening the infrastructure of social care networks for lasting benefits in underserved communities.”

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Op-Ed: As New York advances a new Medicaid pilot program, here’s what success looks like https://uniteus.com/press/op-ed-as-new-york-advances-a-new-medicaid-pilot-program-heres-what-success-looks-like/ Mon, 12 Aug 2024 19:55:56 +0000 https://unite-us-tailwind.local/?post_type=press&p=7458 The post Op-Ed: As New York advances a new Medicaid pilot program, here’s what success looks like appeared first on uniteus.com.

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The post Op-Ed: As New York advances a new Medicaid pilot program, here’s what success looks like appeared first on uniteus.com.

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