Medicaid Services Model
Navigating Managed Medicaid in North Carolina is complex, especially for independent practices. We understand these challenges because we work directly with practices every day.
At CHESS, our approach is different. We don’t just offer services; we build lasting partnerships. The CHESS comprehensive model brings together contracts, technology, and care management to help providers meet Managed Medicaid requirements with confidence.
Through our Clinically Integrated Network (CIN), we provide independent practices with the hands-on guidance, resources, and analytics-driven support needed to reduce administrative burden, unlock new revenue opportunities, and succeed in value-based care.
When you partner with CHESS, you gain a dedicated collaborator focused on helping your practice succeed.
“With over 10 years of expertise in value-based care, CHESS is uniquely positioned to guide providers in delivering customized, value-based care solutions to Medicaid beneficiaries.”
– Josh Vire, Vice President of Value-Based Operations
Medicaid CIN
A Collaborative Approach to Better Care
Our Managed Medicaid CIN offers providers a pathway to enhanced care coordination, improved outcomes, and long-term sustainability through:
End-to-End Operational Support
We manage contracts, payer communications, and administrative meetings — so you can focus on delivering care.
Audit Readiness & Compliance
CHESS has a 100% audit pass rate and consistently exceeds all service level expectations.
Real-Time Performance Insights
Get transparent, monthly reporting and data analytics to track performance and identify growth opportunities.
Enhanced Clinical Support
Proactive, data-driven care management to improve patient outcomes and close care gaps.
Financial & Clinical Value
Improve patient outcomes while unlocking shared savings and financial rewards tied to performance.
Care Management Services for Medicaid Populations in North Carolina
CHESS offers comprehensive services for providers who want to delegate care management for their Medicaid patient populations. We act as an extension of your care team to ensure high-quality, coordinated care delivery.
Our Services Include:
- High-Risk Patient Management
- Chronic Disease Support
- Transitional Care Management
- Preventive Screenings & Wellness
- Care Coordination & Navigation
- Referrals
Our analytics-driven care management services help providers meet all AMH Tier 3 obligations, enhance quality performance, and maximize opportunities for quality incentives and potential bonuses.
Why Choose CHESS Health Solutions?
Starting in North Carolina, but with plans for a much broader reach, our approach simplifies the complexities of value-based care payment models, ensuring a seamless integration into providers’ existing systems.
Ready to simplify Managed Medicaid in North Carolina and improve your practice performance?
Contact us to get started