Summary
Dr. Rajaie Batniji Discusses the Opportunity to Innovate in Medicaid Managed Care
In a recent podcast, Dr. Rajaie Batniji, CEO and Co-Founder of Waymark, shared insights on the opportunity to innovate in Medicaid managed care, the structure of Medicaid in the US, why Medicare Advantage startups receive more outside capital than Medicaid startups, and more.
Focusing on Innovation in Medicaid
Raja Bati is the CEO and Co-founder of Waymark, a company that aims to innovate within the Medicaid program. With a background in healthcare, Raja started his first company 10 years ago, focusing on healthcare payments infrastructure. He believes that there is a need to bring new solutions to Medicaid care delivery that can help improve outcomes in Medicaid.
The Structure of Medicaid in the US
Raja explained that Medicaid is structured differently in each state, with the majority of funds going to private insurance companies. He also shared that Medicaid receives less venture capital investment than Medicare Advantage.
Improving Patient Outcomes with Community-Based Care Models
Waymark is working with healthcare providers and managed care organizations to create a community-based care model that can improve outcomes for patients. They use their algorithm to identify rising risk patients and then reach out to them through telephonic and in-person outreach in the community. Waymark has trained a new healthcare workforce to use their product, Lighthouse, to help them match patterns and recognize symptoms of those they are caring for. Currently, they are operating in Virginia, Washington, and other states and planning to expand this care model across the country.
The Thesis Behind Waymark
Waymark’s goal is to create collaborative models with primary care providers and meet patients where they are, resulting in cost reductions and improved health outcomes. Their innovative community-based care model has the potential to improve Medicaid’s effectiveness in the US and bring about positive change in the healthcare industry.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 04/11/2023 and can be listened here.
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