Acentra Health

Congratulations to our Chief Financial Officer Deborah Ricci on being named as a new Advisory Board member of The Alliance Group. Debbie will bring deep financial expertise and strategic guidance to help organizations across Acentra Health’s headquarter state of Virginia operate more efficiently and scale with confidence.

In a multi-vendor MMIS/MES, integration isn’t the hardest part—coordination is. As states adopt modularity at different speeds, vendor collaboration, governance, and accountability become the real differentiators. Our latest blog breaks down how to select vendors who can actually operate in this environment. Read it here: https://hubs.li/Q04gZYjN0 #AcceleratingBetterOutcomes #AcceleratingOutcomesForum #MMIS #MedicaidTechnology #HealthIT #MES

CMS’ proposed expansion of interoperability requirements highlights the future of prior authorization: more connected, transparent, and patient-centered. The proposed rule would extend electronic prior authorization standards to pharmacy benefits. This helpful article from Crowell & Moring breaks down the proposed changes and the goal, which is to: • Reduce administrative burden • Improve turnaround times • Create a smoother experience for both providers and patients Read the full article with helpful FAQs here: https://hubs.li/Q04h7by-0 At Acentra Health, our interoperable pharmacy management solutions help government healthcare programs improve efficiency, strengthen clinical oversight, and support better patient outcomes through advanced technology and expert guidance. Learn more about Acentra Health’s pharmacy management solutions here: https://hubs.li/Q04h74sv0 #AcceleratingBetterOutcomes #Medicaid #Interoperability #PriorAuthorization #PharmacyManagement #HealthIT #CMS #DigitalHealth

When you are managing benefits across multiple clients, the quality and consistency of clinical review directly impacts your reputation. Acentra Health's Independent Medical Expert Services delivers specialty-matched, guidelines-based reviews for appeals, coverage determinations, and coding accuracy across all 50 states. With a secure online portal for real-time case status and audit-ready documentation, you get the speed, transparency, and defensibility your clients demand. Let's talk: https://hubs.li/Q04dygQJ0 #AcceleratingBetterOutcomes #HealthcareBenefits

Prior authorization (PA) doesn’t have to be a barrier. It can be a bridge to better, faster care when done right. At Acentra Health, we’re advancing a more transparent, efficient, and provider-friendly PA experience by focusing on what matters most: • Simplifying submissions with an intuitive Provider Portal “wizard” that guides clinicians step-by-step • Delivering clear, timely decisions aligned with CMS requirements • Increasing trust through accessible clinical review criteria during the submission process • Meeting and exceeding response requirements: 72 hours for urgent requests, 7 days for standard • Continuously evaluating PA requirements through data-driven insights and sharing findings with clients These enhancements are not just for compliance. We’re working with clients to reduce friction, support providers, and improve outcomes. Learn more about our Utilization Management Solution here: https://hubs.li/Q04gSwXB0 #AcceleratingBetterOutcomes #PriorAuthorization #UtilizationManagement

Proud to see our Chief Strategy and Transformation Officer Ezmeralda Khalil Sager featured in the top 10 of WashingtonExec's Top Healthcare Executives to watch in 2026! This list recognizes leaders who are shaping the future of healthcare innovation and outcomes. Ezmeralda says her biggest achievement will be seeing Acentra Health fully transform into the next phase of our journey: “A place where each of our leaders and employees is continually pushing the status quo to ask ‘why’ and ‘why not’ as we partner with our clients to consider bold and innovative ideas to solve their most pressing challenges at speed and at a lower cost to serve.” Read more about how she’s leading a team focused on driving our Vision 2030 to make it easier and less costly for individuals to access and receive quality care. https://hubs.li/Q04gy-2n0 Thank you to WashingtonExec for the recognition and congratulations to the other healthcare leaders featured on this year’s list. We’re excited for what’s ahead in 2026 and beyond. View the full list here: https://hubs.li/Q04gyLp50 #AcceleratingBetterOutcomes #HealthInnovation #Leadership #GovHealth #DigitalHealth #HealthcareTransformation

With Appeals and Grievances, high volume does not have to mean high friction. Acentra Health unifies 1st and 2nd level medical necessity reviews, state and federal medical appeals, and expert testimony for fair hearings into one flexible, configurable program that consistently meets 100% of service level agreements. With more than 500 clinicians and 3,000 credentialed physicians matched by specialty, clients get consistent, defensible clinical decisions and faster resolutions that support compliance and audit readiness. Explore our Appeals and Grievances Solution here: https://hubs.li/Q04gvhpk0 #AcceleratingBetterOutcomes #Appeals #Grievances #MedicalReview

There’s no single path to modularity, and that’s why many MMIS and MES implementation strategies fall short. Some states phase in modules. Others implement multiple at once. Each approach changes how vendors must collaborate, integrate, and perform. If vendor selection doesn’t align to your modularity sequence, risk increases fast. Read our blog post on how Medicaid CIOs and CTOs can choose vendors built for a true multi-vendor ecosystem: https://hubs.li/Q04gy-yk0 #AcceleratingBetterOutcomes #AcceleratingOutcomesForum #Medicaid #MMIS #HealthIT #MedicaidInnovation #MES Nirav Dalal

“Assessments are a compass in a storm,” according to Verlon Johnson, Chief Government Relations & Corporate Affairs Officer, Acentra Health, “without them, individuals can drift between care settings, delaying care and increasing risk.”  But what does it  actually take  to build a system that guides people to the right care, at the right time, in the right place?  Explore how PASSR, HCBS, and modern assessment models are improving outcomes and reducing unnecessary institutionalization.  Watch the full session of Caring for the Most Vulnerable: Right Care, Right Time, Right Place: https://hubs.li/Q04gjCNb0 #AcceleratingBetterOutcomes #AcceleratingOutcomesForum

Stalled workers’ compensation claims cost money, time, and trust. Acentra Health's Independent Medical Expert Services provides objective, specialty-matched physician reviews that assess causality, medical necessity, and return-to-work readiness, all on your timeline. Carriers, employers, and third-party administrators get clear, defensible answers they need to close cases faster and control costs. Ready to get started? Contact us: https://hubs.li/Q04dysjw0 #AcceleratingBetterOutcomes #WorkersCompensation