Focused Exclusively on Medicaid and Public Payer Programs
Medicaid and public payer programs are navigating more change at once than at almost any point in the past decade. New redetermination and work-requirement rules under H.R.1. Growing scrutiny around fraud, waste, and abuse. Rural Health Transformation funding. Rising expectations for population and behavioral health.
All of it demands the same thing: sustained, human outreach at scale.
Epiphany works exclusively within this ecosystem, bringing the human touch to every one of these moments, without adding permanent overhead.
Always-On Support for Medicaid and Public Payer Programs & Technology Initiatives
We provide 24/7 outreach and support for MCOs, providers, and states, combining compassionate, problem-solving agents with the technology and channels to reach members wherever they are, by phone, text, chat, or email.
Engagement Pressures
Redeterminations & Member Churn
Public payer agencies must reach and support eligible members at scale, quickly, and often repeatedly. When this doesn’t happen, families lose coverage they still qualify for. We help programs meet these moments with compassionate, high-volume outreach and clear, human communication.
Fraud, Waste & Abuse (FWA)
FWA initiatives often generate insights faster than teams can act on them. Without sustained outreach, education, verification, and follow-up, potential issues remain unresolved. We provide the sustained processes and people-centered engagement needed to turn insight into action.
Operational Pressures
Compliance & Readiness
New implementations and policy shifts bring hard deadlines and low tolerance for failure. Internal teams often need additional support to meet expectations without sacrificing quality. We step in as a stabilizing and capacity-extending partner.
Efficiency & Operating Costs
Public payer programs must expand and contract capacity without adding permanent overhead. Traditional staffing models make this difficult when demand is unpredictable. We provide a model that flexes with needs, grounded in empathy and operational steadiness.
Our Medicaid Track Record
Epiphany has worked exclusively within Medicaid and public payer programs for nearly a decade, managing member support for Electronic Visit Verification rollouts in more than 20 states since 2016. We maintain a 97% member satisfaction rate, operate as a 100% US-based team, and hold MBE certification. That depth of experience means we understand not just the technology, but the people and processes behind successful Medicaid programs, for MCOs, states and providers alike.
