Delivering mediation services to streamline the Medicaid appeals process.

Streamlining the Fair Hearing Process and Operations

The COVID-19 outbreak, federal policies to address the health emergency, and subsequent growth in enrollment have disrupted Medicaid processes and operations. At the conclusion of the continuous enrollment provision, states will need to review strategies to ensure timely processing of fair hearing requests.

Developing a strategy to assess the fair hearing process and capacity in preparation for the increased volume of requests will ensure that states meet fair hearing requirements without undue cost and burden.

Mediation is pre-hearing alternative dispute resolution that identifies consensus resolution and reduces the number of cases requiring a hearing.

Blueprint Resolutions provides mediation services to resolve Medicaid appeals via pre-hearing alternative dispute resolution. Mediation enables states and beneficiaries to identify consensus resolution, eliminating the need to conduct a fair hearing. Mediation is a cost-effective and efficient solution for states to resolve Medicaid appeals backlogs, streamline the fair hearing process, and speed the delivery of appropriate services to beneficiaries.

The Blueprint Resolutions Difference

With a tested and proven mediation program, Blueprint Resolutions can help you streamline the Medicaid appeals process, reduce the number of appeals requiring a hearing, and achieve consensus resolutions that reduce stress on Medicaid beneficiaries.

Close Cases Faster

80% of our cases settle within 26.5 days, compared to the average 67.5-day time period with the traditional fair hearing process.*

Reduce Your Caseload

We handle the headaches of adapting to an increased fair hearing load and reduce the risk to your agency, earning a 99% positive response in seven years of operations.

Accelerate Case Outcomes

Streamline your process using fewer resources, accelerate the case outcome, and save time, stress, and money.

How It Works

Our method is powered by mediation, an alternative dispute resolution with a neutral third party who guides the parties into a conversation to identify consensus resolution focused on how best to serve, not just reduce.

By reducing the amount of time that cases wait to go to a hearing through mediation, Blueprint Resolutions speeds the resolution of Medicaid appeals, which delivers cost savings to states and increased satisfaction for recipients and applicants.

Prepare for your state's influx of appeals or make your established process better.

Start tailoring a unique solution for your state and discover how Blueprint Resolutions can help you streamline your Medicaid appeals process!

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Sample case:

# of appeals with benefits x Daily cost of benefits x Reduction in days cases were pending = Savings AND redistribution of benefit dollars to those most in need

(2,000 cases) x ($57/Day) x (40 days faster on avg.) = $4,560,000

*Statistics based on Alaska pilot program.

Sample case:

# of appeals with benefits x Daily cost of benefits x Reduction in days cases were pending = Savings AND redistribution of benefit dollars to those most in need

(2,000 cases) x ($57/Day) x (40 days faster on avg.) = $4,560,000

*Statistics based on Alaska pilot program.

Ready to streamline your Medicaid fair hearings process and operations?

Connect With Us

Email us to start creating your unique solution and see how Blueprint Resolutions can make your Medicaid appeals process run more efficiently than you ever thought possible.

Implement And Monitor

We’ll help you implement the program and monitor its progress—no extra work on your end required.

Streamline Your Process

Reduce your Medicaid appeals case backlog, save time and money, and ensure that beneficiaries receive appropriate services in a timely manner.

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Want to see the program in action?

See the direct impact of our program implementation in the state of Alaska, and find out how Blueprint Resolutions can help you streamline the appeals process.

Download the Case Study

About Blueprint Resolutions

After seeing countless Medicaid appeals get tied up with red tape and long wait times, we designed a mediation program that helps you save time and money while getting recipients and applicants the care they need.

With more than seven years of experience with the Medicaid appeals process, we created a program that helped 80% of Medicaid cases move 80% faster with 80% fewer resources.

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