ReadyCareConnect, Inc., operating as Circle Engage, is dedicated to enhancing healthcare access and reducing administrative complexities through innovative technology solutions. The company excels in developing tools that streamline interactions between healthcare providers, payers, and patients, aiming to improve the overall efficiency of healthcare systems. However, one of the current challenges faced by Circle Engage is understanding and navigating the varied Medicaid redetermination policies across different states, which impacts their ability to provide seamless solutions for coverage retention.

The business challenge lies in the lack of comprehensive insights into how state-specific policies and practices influence Medicaid coverage retention and administrative efficiency. This gap affects Circle Engage's capacity to offer targeted, effective solutions to state agencies and their partners. The consequences of this challenge include potential inefficiencies in supporting Medicaid beneficiaries during redetermination periods, leading to increased churn rates and coverage gaps.

This project addresses the challenge by analyzing and comparing the Medicaid redetermination processes across five states, focusing on identifying best practices that enhance coverage retention and minimize administrative burdens. Framed as a student opportunity, this project allows students to apply their academic knowledge to real-world healthcare policy issues, developing skills in research, analysis, and strategic planning.

The project consists of several key components, including mapping state policies, analyzing outcomes, conducting interviews, and examining rural-specific barriers. These phases collectively contribute to creating a robust framework that Circle Engage can utilize to improve its offerings and support state agencies more effectively.

This project is ideal for students because it offers a rich learning experience that integrates academic theory with practical application. Students will gain valuable insights into healthcare policy, regulatory compliance, and stakeholder engagement, preparing them for careers in health management, policy analysis, and public administration. The project is meaningful as it addresses a critical healthcare challenge, providing students with opportunities to develop essential consulting, operational, and policy skills that are relevant and exciting for their future careers.