Who We Are
Founded in 1986, eQHealth Solutions is a leader in medical management, directing a broad array of federal and state health care contracts. These health care quality initiatives improve the lives of millions of citizens in Louisiana, Illinois, Mississippi and Florida.

Louisiana – In Louisiana, eQHealth Solutions has held the contract with the federal Centers for Medicare  &  Medicaid Services (CMS) as the Quality Improvement Organization (QIO) for Louisiana for the past twenty-three years. We conduct quality improvement projects across the state, working with hospitals, physicians, home health agencies and nursing homes.  As the Louisiana QIO, we were chosen by Medicare to lead a three-year Care Transitions pilot study to reduce unnecessary hospital readmissions, and we are one of only five QIOs in the country awarded a contract by Medicare to pilot a project to reduce disparities in health outcomes in the African-American diabetic population.

Illinois – We assist the Illinois Department of Healthcare and Family Services Medicaid with medical peer reviews, utilization management, quality improvement services, special projects and focused quality studies. We also conduct a quality assurance project for home and community based waivers including program development consultation, onsite reviews and program monitoring activities and waiver participant experience surveys. We have held these contracts since 2002.

Mississippi – We have worked with the Mississippi Division of Medicaid since 1997. A key component of this work is to conduct utilization review and quality improvement efforts for inpatient and outpatient programs. These programs include:  inpatient hospitalization, inpatient acute psychiatric care, swing bed, psychiatric residential treatment facilities, home health, durable medical equipment, transplants, clinical consultation, peer review, outpatient therapy, private-duty nursing, maternity reporting and provider education. We also conduct pre-certifications and quality of care reviews for the state’s MYPAC Waiver for children with mental illnesses.

Florida - In June 2011, eQHealth Solutions began the implementation of a contract with the Florida Agency for to Health Care Administration to conduct Medicaid utilization management services.