Client: Large Medicaid agency.
Situation: The client required recommendations on how to adjust its organizational structure in order to handle a large increase in volume caused by legislated changes in eligibility.
Ripples Approach: Ripples developed a model that calculated the system’s capacity and staffing needs for handling the volume of new applications. Our team identified the need for long-term staffing adjustments. The system model utilized multivariable linear programming to predict the short-term and stabilized processing volume, and as part of the model development, Ripples conducted an in-depth capacity flow analysis exposing the steady-state and stressed capacity potential.
Result: Using Ripples’ predictions, the client developed capacity adjustments to handle member volumes successfully, and service levels remained within established levels throughout the transition period.

Client: State agency providing preventive care services to low-income and underinsured women.
Situation: To keep pace with state health reforms, the client needed to develop a completely new service model and recontract all of its existing provider network.
Ripples Approach: After facilitating discussion among an 84-member Expert Panel to solicit recommendations, Ripples assisted in the development of a new service model by helping develop a care coordination service to aid with managing client health over time. Ripples served as a significant partner in the development of a revised RFR for recontracting, which included new performance metrics and contract management approaches.
Result: The client developed an entirely new Care Coordination model based on evidence-based strategies to create long-term compliance with preventive care.