Empowering Organizations to Improve Medicaid Member Health
Through our comprehensive services, we support you in delivering high-quality care to those who need it most.
Our Comprehensive Approach to Healthcare
At VitaHealth Illinois, we are committed to providing a holistic approach to healthcare that addresses our members’ medical and social needs. Our services enhance health outcomes, promote equity, and empower individuals to lead healthier lives.
Prevention and Education
Our model of care focuses on proactive health management to prevent illnesses before they start and to manage existing conditions effectively. Here’s how we do it:
- Health Promotion: We emphasize the importance of regular check-ups, screenings, and healthy lifestyle choices. Our initiatives educate members on maintaining their health and well-being.
- Preventative Care Model: We use a data-driven approach to identify at-risk individuals and communities. Our highly skilled Patient Navigators and Personal Healthcare Consultants provide a member-focused approach to navigating a person’s healthcare journey. This line of care reduces nonessential emergency department visits, hospitalization, and healthcare costs.
Social Care Network
Understanding that various social factors influence health, we have developed a comprehensive Social Care Network to address these needs for our clients.
Community-Based Organizations and Providers
We provide operational support that offers services in housing, food and nutrition, vocational training, behavioral health, and substance use treatment. This support ensures members can access the resources they need to thrive. We provide a full range of back-office support for organizations providing services for health related needs to include:- Claims submission
- Eligibility verification and connectivity with Managed Care Organizations
- Provider roster assistance
- Data analytics
- Technology that enhances member engagement and closes care gaps
- Payment optimization
- Assistance with submission of encounters
- Access to a network of organizations and providers
Integrated Solutions for Payors
We offer a turnkey solution for Managed Care Organizations (MCOs) and other payors, which includes access to a network of providers addressing health-related needs (HRNs), improvement in member engagement, quality outcomes, reduction in health disparities, and overall cost of care.
Operational Support
We work with MCOs and payors to offer operational support with experienced leaders in Managed Care.
Solutions Powered by Innovative Technology
Our technology reflects our commitment to innovation. Our state-of-the-art platform supports our members and partners and allows them to:
- Communicate effectively with members, providing them with timely information and support.
- Track progress and adjust care plans.
- Identify trends, predict health risks, and tailor interventions to meet the specific needs of members.
