Medicaid Practice

Innovative Guidance for Health Plans and Providers: Enhancing Quality Care and Cost Management 


Welcome to ProspHire’s Medicaid Practice, where we provide innovative guidance to health plans and providers, focusing on enhancing quality care and cost management. Our expertise spans key areas such as: Addressing Health Disparities, navigating Quality Performance and Risk Adjustment and optimizing Managed Long-Term Services and Supports (MLTSS) for comprehensive care delivery.

We specialize in Medicaid HEDIS Optimization, assisting clients in maximizing performance metrics and meeting regulatory standards effectively. Our team also supports organizations in achieving and maintaining NCQA Accreditation, demonstrating a commitment to quality care and service excellence.

Additionally, we offer solutions for Quality Performance Dashboarding and System Integration and Selection tailored to the unique needs of Medicaid programs. Partner with ProspHire to transform your approach to Medicaid, drive quality improvement and optimize financial performance.



Discover how ProspHire’s innovative solutions can help your organization improve patient outcomes, address health disparities and optimize cost management—especially in Medicaid. From strategic planning and maternal health equity initiatives to HEDIS performance and risk adjustment, our expert team is here to guide you every step of the way.

Let’s have a conversation

Julie Evans

Senior Manager

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