Health systems

Prevent costly acute care for your Medicaid patients

Proven predictive technology and community-based teams that make Medicaid more sustainable

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The challenge

40% of hospital and ER visits in Medicaid are preventable

Rising-risk Medicaid patients drive disproportionate ER and inpatient utilization, but traditional care management programs don't catch them until they're already in crisis. Without community-based infrastructure to intervene earlier, health systems absorb preventable costs that make Medicaid increasingly difficult to sustain.

Source: AJMC (2024). DOI: 10.37765/ajmc.2024.89630

Our impact

Waymark’s Rising Risk Program reduces avoidable acute care at your facilities

Community-based interventions address the root causes — social needs, medication access, care coordination — so patients stay healthier and out of the hospital or ER.

48%
reduction

in avoidable hospitalizations

20%
reduction

in avoidable ER visits

$2,347 in savings

per patient per year

Source: NEJM Catalyst (2024).
DOI: 10.1056/CAT.24.0060

Our approach

We move care from the clinic to the community

Predictive technology identifies who needs help. Local teams deliver early interventions to prevent costly
acute care.

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Community Health Workers

Patient advocacy, chronic condition support, navigating community resources

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Licensed Counselors

Cognitive behavioral therapy and mental health support

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Pharmacy Teams

Support for medication, prescriptions, and medical supplies

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Care Coordinators

Care team communication, appointment coordination, navigating care gaps

Our technology

Maximize your care team’s reach

The Waymark SignalTM Suite can bring our predictive intelligence directly to your staff, providing the same data-driven insights that power our own care model.

Waymark Signal™: Predictive intelligence built for Medicaid

Waymark Signal is a suite of machine learning models that identify rising-risk patients, flag high-risk pregnancies, predict HEDIS quality gaps, and provide actionable intervention guidance – all peer-reviewed and configured to your specific patient population.

Learn more

No cost, 
no administrative burden

We experiment to improve

Waymark is paid by health plans. There’s no financial cost to your practice or your patients.

No additional administrative burden

We handle social services paperwork, prior authorizations, and care coordination. You focus on clinical care, without adding new technology or workflows.

How it works

Tailored to your care teams and workflows

1

Onboarding

We work with you to understand your care team, workflows, and Medicaid population

2

Calibration

We calibrate our predictive models and design the right care delivery approach

3

Care delivery

Waymark’s care team, yours, or both begin engaging targeted patients

4

Ongoing optimization

We report on performance and continously improve our predictive models

Waymark stories

“Waymark took away anxiety and gave me back hope.”

A story from Kim, a Waymark member and resident of Snohomish county, WA.

See what Waymark can do for your patients

Schedule a conversation with our partnerships team