{"id":9166,"date":"2025-07-23T13:15:06","date_gmt":"2025-07-23T17:15:06","guid":{"rendered":"https:\/\/uniteustailstg.wpengine.com\/?p=9166"},"modified":"2025-07-23T17:16:03","modified_gmt":"2025-07-23T21:16:03","slug":"the-infrastructure-behind-medicaid-transformation","status":"publish","type":"post","link":"https:\/\/uniteus.com\/report\/the-infrastructure-behind-medicaid-transformation\/","title":{"rendered":"From Vision to Value: The Infrastructure Behind Medicaid Transformation"},"content":{"rendered":"

\"\"Medicaid programs across the country are pushing the boundaries of what healthcare can be\u2014funding food, housing, and transportation support to address the root causes of health. But without a strong infrastructure to support these innovations, even the best ideas struggle to succeed. Written in partnership with Fierce Healthcare, this report explores how standardized systems for eligibility, billing, and cross-sector coordination are enabling states and CBOs to operationalize Medicaid transformation.<\/p>\n","protected":false},"excerpt":{"rendered":"

Medicaid programs across the country are pushing the boundaries of what healthcare can be\u2014funding food, housing, and transportation support to address the root causes of health. But without a strong infrastructure to support these innovations, even the best ideas struggle to succeed. Written in partnership with Fierce Healthcare, this report explores how standardized systems for…<\/p>\n","protected":false},"author":5,"featured_media":9168,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[107],"states":[],"topic":[86,89,88],"industry":[77,75],"series_name":[],"class_list":["post-9166","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-report","topic-healthcare","topic-medicaid-innovation","topic-technology","industry-community","industry-payers"],"acf":{"layout":"report","gated_page":{"":null,"title":"","featured_image":null,"description":"","form_title":"Fill out the form to download the white paper.","code_editor":"","title_2":"","description_2":"","embeds":null,"display_cta_button":true,"button_text":"Download the White Paper"},"columns":null,"download_page":{"document":""},"reports_component":{"components":[{"acf_fc_layout":"buttons","_acfe_flexible_toggle":"","action_buttons":[{"name":"Read the Summary","style":"button-hollow","link_type":"external","page_link":null,"link":"#background","icon":"down-caret","is_blank":false,"background_color":"","text_color":"","background_color_hover":"","text_color_hover":""},{"name":"Download Report","style":"button-hollow","link_type":"external","page_link":null,"link":"https:\/\/uniteus.com\/document\/fiercehealthpayer-uniteus-whitepaper\/","icon":"","is_blank":false,"background_color":"transparent","text_color":"#216cff","background_color_hover":"#216cff","text_color_hover":"#ffffff"}]},{"acf_fc_layout":"key_takeaways","_acfe_flexible_toggle":"","id":"","menu_label":"","header":"

Key Takeaways<\/h2>\r\n

In this report, you\u2019ll learn:<\/strong><\/h3>\r\n\"\"<\/strong>Infrastructure is the foundation, not the afterthought\r\n<\/b>Sustainable Medicaid transformation depends on purpose-built systems that connect care, enable billing, and streamline data.\r\n\r\n\"\"<\/strong><\/b>Great ideas thrive and scale with the right infrastructure<\/b>\r\nWhen infrastructure is strong, reimbursement flows smoothly, administrative tasks lighten, and programs flourish alongside CBOs.<\/span>\r\n\r\n\"\"<\/strong>Billing for non-medical services is uniquely complex\r\n<\/b>With the right infrastructure, smaller organizations gain the tools they need to compete and succeed in medical reimbursement environments.\r\n\r\n\"\"<\/strong>CBOs excel with both funding and strong systems\r\n<\/b>Success requires modern infrastructure that automates eligibility, standardizes claims, and supports non-clinical service delivery.<\/span>\r\n\r\n\"\"<\/strong>Proven success starts with operational clarity\r\n<\/b>Programs like North Carolina\u2019s Healthy Opportunities Pilot show that the right infrastructure unlocks measurable outcomes, cost savings, and scalable impact.","takeaways":null,"text":"","tiles":null},{"acf_fc_layout":"wysiwyg","_acfe_flexible_toggle":"","id":"background","wysiwyg":"

Introduction<\/h2>\r\nThere is powerful momentum to reimagine healthcare across the country. States are recognizing that health starts long before someone steps into a clinic\u2014it starts with a safe home, a reliable meal, and access to transportation. To date, Medicaid programs, backed by 1115 waivers and innovative leadership, have been the main source of funding for services to address non-medical drivers of health. But new models and alternative approaches (ILOS, 1915(b) waivers, direct payments, community partnerships, etc.) are becoming more common. However, while the vision is strong, the necessary foundation to support it often lags behind. Truly transforming healthcare requires looking beyond individual services and focusing on the systems that sustain them."},{"acf_fc_layout":"blockquote","_acfe_flexible_toggle":"","id":"","text":"\u201cTechnology is not a layer to be added later \u2014 it is the foundation for scalability, collaboration, and evaluation.\u201d\r\n\r\nEmily Anders,<\/strong><\/span>\u00a0Director of Payments Strategy, Unite Us"},{"acf_fc_layout":"wysiwyg","_acfe_flexible_toggle":"","id":"background","wysiwyg":"Community-based organizations (CBOs) are a critical addition to the healthcare ecosystem in these innovative models, but many are being asked\u2014often for the first time\u2014to participate in complex reimbursement processes. This approach brings CBOs into the existing healthcare billing model without adapting that model to fit their capabilities. The result is a barrier to entry, rather than an on-ramp to success.\r\n\r\n\"\"\r\n\r\nThree realities have become clear:<\/strong>\r\n
    \r\n \t
  • First, return on investment (ROI) takes time, and it depends on thoughtful design that centers on members, infrastructure and long- term partnership and incentive alignment.<\/li>\r\n \t
  • Second, billing standards must evolve to support non-medical services at scale.<\/li>\r\n \t
  • Third, technology is not a layer to be added later \u2014 it is the foundation for scalability, collaboration and evaluation.<\/li>\r\n<\/ul>\r\nThis paper explores why infrastructure is essential, how its absence derails well-meaning programs, and how partners like Unite Us are helping Medicaid programs realize their promise."},{"acf_fc_layout":"buttons","_acfe_flexible_toggle":"","action_buttons":[{"name":"Download the Report","style":"button-hollow","link_type":"external","page_link":null,"link":"https:\/\/uniteus.com\/document\/fiercehealthpayer-uniteus-whitepaper\/","icon":"","is_blank":true,"background_color":"transparent","text_color":"#216cff","background_color_hover":"","text_color_hover":""}]}]},"webinar_components":{"components":null,"speakers":{"speaker_heading":"Speakers","all_speakers":null},"organizations":{"organization_heading":"Organizations","all_organizations":null}}},"yoast_head":"\nFrom Vision to Value: The Infrastructure Behind Medicaid 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