Smarter Medicaid risk analytics

Medicaid managed care organizations (MCOs) are under growing pressure. Eligibility redetermination, chronic under-documentation, and fragmented encounter data make accurate risk adjustment and care coordination especially difficult.

Add to that line-of-business silos and variable vendor performance, and health plans risk losing not just revenue—but members and compliance standing. 

Invent Health helps Medicaid and Medi-Cal plans optimize risk capture, improve encounter integrity, and power meaningful member outreach—especially for high-need and vulnerable populations. Our Modular Analytics Platform (MAP) integrates structured and unstructured data to deliver actionable insights across redetermination, quality, coding, and financial performance.