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HealthMAP: Medicaid analytics platform

HealthMAP is a cloud-based Medicaid analytics and reporting platform for state health agencies. It uniﬁes enrollment, claims, and clinical data—giving teams the dashboards, reports, and AI-driven analytics to help manage programs and improve outcomes.

HealthMAP reporting and analytics

State Medicaid agencies sit atop enormous amounts of enrollment, claims, encounter, and clinical data. But pulling it together for reporting and oversight remains a daily challenge. HealthMAP brings that data into one secure, cloud-based platform with prebuilt models, health care dashboards, and AI tools tailored to Medicaid program needs. The result is faster answers, stronger compliance, and a clearer view of member outcomes across programs.

HealthMAP by the numbers

HealthMAP supports state Medicaid programs with demonstrated scale across enrollment, claims, clinical, and provider data.

20+

state and county health agencies supported across Medicaid and behavioral health programs.

300+

prebuilt reports, dashboards, and analytic models tailored to Medicaid program needs.

~4B+

claims and encounter records processed across deployed state environments each year.

360-degree

member view of Medicaid eligibility, program enrollment, and member demographics.

What sets HealthMAP apart

HealthMAP is purpose-built for the realities of state Medicaid programs. Where generic tools fall short, HealthMAP pairs domain knowledge with modern cloud architecture and built-in compliance.

What HealthMAP delivers for Medicaid programs

HealthMAP brings together the data, tools, and Medicaid analytics state health agencies need to run their programs, oversee operations, meet federal requirements, and improve member outcomes—all in one secure platform.

Medicaid data warehouse

A modern Medicaid data warehouse unifying eligibility, claims, encounter, and clinical data in one trusted source.

Reporting and dashboards

Prebuilt reports and health care dashboards covering enrollment, utilization, quality, and program oversight.

Predictive analytics

AI-driven detection of anomalous billing patterns, high-risk providers and members, and historical utilization tracking.

Population health

Population health analytics solutions to identify at-risk members, track outcomes, and target interventions.

Data-quality framework

Configurable data-quality framework enforcing hard, soft, and programmatic rules across reports, data sets, and modules.

How HealthMAP powers unified member reporting

HealthMAP member identity matching

HealthMAP’s identity matching capability links member records across eligibility, claims, encounter, and clinical sources to build accurate, unified member profiles. The platform uses probabilistic and deterministic matching to handle real-world quality issues, including misspellings, missing identifiers, and duplicate records. The result is a trusted member view that supports analytics, care coordination, and health care reporting across Medicaid programs.

Broad data reporting and analytics

State data, analytics, and reporting teams use HealthMAP as their core Medicaid analytics platform. Instead of stitching together extracts and manual reports, teams work from a single, curated data layer with standardized definitions, lineage, and quality checks. Self-service tools and prebuilt models let analysts answer agency questions faster while reducing the engineering burden on already stretched teams.

Compliance and oversight

Our Medicaid analytics platform provides built-in support for T-MSIS, CMS reporting, and federal Medicaid quality measures and oversight requirements.