Fortuna Health

??ICYMI: Our Building for Scale in Medicaid Expert Roundtable is now live on Flare Capital Partners' website: https://lnkd.in/eycEucEH We spoke with five senior operating executives and experienced entrepreneurs to hear their perspectives on Building for Scale in Medicaid. We covered a range of topics, including building trust with Medicaid beneficiaries, what the presidential election means for Medicaid, understanding decision making at MCOs, challenges & opportunities for scaling startups, and plenty more. Below are just a few key moments from our collective discussions: ?? Building Trust in Medicaid Adaeze Enekwechi (Cayaba Care):?“We meet our members where they are – we meet them in the home, we meet them at coffee shops, we meet them virtually. That in and of itself cultivates trust, you’re not dictating to them how this relationship must be established. Additionally, our navigators are hired from within the community – people who understand you, speak your language, understand the nuances of your community.” Nikita Singareddy (Fortuna Health): “I think it’s important that you earn trust by having a great consumer experience - frankly that's as simple as doing the thing that you say you’re going to do. This is a population that has consistently been oversold, told that you’re going to get X, while actually receiving Y. ?? Experience Building in Medicaid Daniel Brillman (Unite Us): “We have been around for 11 years, there are always going to be headwinds. There are always going to be massive problems to solve, they are just going to change. Our vision and mission, for 11 years, hasn’t changed – how we’ve gotten there and navigated through that, of course, will continue to change.” ?? Understanding Buying Decisions at MCOs Karen S. Amstutz, MD MBA: “Each managed care company has a different approach to how it vets the vendors or how they contract with providers, so you have to take each organization and ask yourself – is this an organization that is looking at things nationally first and then move to local adoption? Or the opposite, let the local plan pilot this and if it’s successful then we’ll think about how we go nationally?” ? A very special thank you to all of the extraordinary executives and entrepreneurs who joined us for this important conversation: Chris Palmieri (Commonwealth Care Alliance), Adaeze Eneckwechi (Cayaba Care), Nikita Singareddy (Fortuna Health), Dan Brillman (Unite Us), Karen Amstutz, MD MBA! ?? What's next you ask? Mark your calendars for our next Expert Roundtable Series on Tuesday, December 3rd at 12:00 PM ET. We will explore the topic of Longevity in Focus: Innovating for a Longer, Healthier Life. Sign up here: https://lnkd.in/ehSpqdXd

This Week in Medicaid highlights a new report from Milbank Memorial Fund on value-based payments in Medicaid, CMS's final plans for Medicaid redetermination, UnitedHealthcare Community & State's commitment to school-based healthcare with Goodside Health and Hazel Health, and the administration's $75M investment in rural health. Links to these reports and articles in the comment section.

How do you simplify Medicaid navigation for millions of Americans? The process is notoriously complex, varying by state and fraught with barriers like changing eligibility rules, confusing enrollment options, and language limitations. Nikita Singareddy, CEO of Fortuna Health, outlines a three-part approach in her conversation with a16z venture partner, William Shrank: ???? Eligibility awareness: Helping households understand Medicaid eligibility, which vary based on income, immigration status, and even medical conditions. ???? Accurate enrollment: Ensuring the right information is submitted across different application methods (online, paper, in-person). ???? Renewal support: Guiding users through the renewal process to avoid denial or lapses in coverage. Listen on Raising Health: https://lnkd.in/gf_vNcyy

This Week in Medicaid highlights a new report from Health Management Associates on states shaping Medicaid, D.C.'s $42 million medical debt cancellation, the launch of CareSource's TrueCare plan in Mississippi, and America's Essential Hospitals brief on Medicaid State Directed Payments. Links to these reports and articles in the comment section.

This Week in Medicaid includes new bills in New Jersey to expand asset limits, Medicaid reimbursement increases in West Virginia, enrollment delays in Indiana, and KFF's new breakdown of state Medicaid spending per enrollee. Links to these reports and articles in the comment section.

This Week in Medicaid includes state Medicaid budget trends for FY 2025 from Sellers Dorsey, rising risk scores in the ACA marketplace, benefits of the Medicaid Aging Waiver, and health centers serving a record 31M+ patients. Links to these reports and articles in the comment section.

Today is the 59th anniversary of Medicaid - a program that has evolved over the years from safety net coverage for low income people to supporting pregnant women, children and infants, undocumented populations, differently-abled individuals, and those with certain health conditions. Fortuna couldn't be prouder to help beneficiaries navigate Medicaid/CHIP, and we celebrate organizations advocating for enrollees like: National Association of Medicaid Directors Association for Community Affiliated Plans (ACAP) National Association of Community Health Centers (NACHC) Acumen America The SCAN Foundation Health Tech 4 Medicaid Medicaid Health Plans of America (MHPA) National MLTSS Health Plan Association and more

This Week in Medicaid includes CMS increasing funding and training for caregivers, Centene supporting the $900M build of affordable housing units, and Headway's Series D expansion into Medicaid. Links to these reports and articles in the comment section.