What role does MDwise and Advantage Health Solutions play in Indiana?

MDwise and Advantage Health Solutions serve as Care Management Organizations (CMOs) in Indiana, which is crucial for managing the healthcare needs of Medicaid recipients. As CMOs, their primary role is to coordinate care, ensuring that members receive appropriate and timely services that are tailored to their specific health needs. This includes managing members' access to healthcare services, fostering communication between primary care providers and specialists, and supporting efforts to promote overall well-being.

Care Management Organizations play a vital role in the Medicaid system by helping to create a more integrated and holistic approach to healthcare, which can lead to improved health outcomes for members. They work closely with patients, healthcare providers, and community resources to address barriers to care and promote better financial and health resource management.