Live from Tennessee: MCOs Complete 13,000 Screenings & 4,000 Referrals in First 3 Months
Findhelp successfully went live across the state of Tennessee with a digital infrastructure designed to modernize care coordination and reduce inefficiencies while improving health outcomes for over 1.4 million TennCare Medicaid members. The Tennessee Community Compass, powered by Findhelp, connects TennCare, its managed care organizations (MCOs), healthcare providers, and community-based organizations (CBOs) through a centralized system that supports referrals, service authorizations, data exchange, and CBO payments.
In just three months, the MCOs and their providers have cumulatively completed 13,000 screenings and made 4,000 referrals on behalf of Tennessee Medicaid members.
In this post, you’ll learn how we’re:
Tackling fragmentation with technology that enhances, not replaces
Building a practical model for government efficiency
Creating a collaborative, scalable blueprint for public sector workflows
From disconnected systems to a statewide solution—powered by Findhelp
Government health programs like Medicaid often face the dual challenge of managing high-need populations while navigating outdated processes and disconnected systems. Care managers are expected to coordinate across medical and social sectors, and inefficiencies don’t just slow down service delivery: they can create real risks for the people depending on them.
After a competitive bidding process in 2023, TennCare chose Findhelp to be its statewide partner and platform. The Rural Health Association of Tennessee helped lead early implementation efforts to engage CBOs in the initiative by addressing the non-medical risk factors of the TennCare population.
As Tennessee’s managed care Medicaid program, TennCare provides health insurance coverage to 1.4 million low-income Tennesseans and operates with an annual budget of approximately $18.6 billion.
This partnership is a major step forward in digital transformation for public health systems, and a core component of TennCare’s Health Starts Initiative to improve operational efficiency across the Medicaid ecosystem while addressing the non-medical factors that influence health outcomes.
Replacing manual, fragmented workflows
Tennessee Community Compass enables TennCare and its MCOs—BlueCare, Wellpoint (Elevance Health), and UnitedHealthcare—to build a standardized, replicable, and accountable model for integrating social care into existing workflows.
This statewide platform allows care teams to:
- Identify health-related social needs
- Refer and authorize services
- Share and receive data securely
- Track outcomes
- Pay community organizations for provided services
- Report on impact across the care continuum
“This launch isn’t just about social care, it’s about a smarter, more efficient government… This project shows that technology companies can work cost-effectively with government partners so that more money goes to people in need.”
Erine Gray
Founder & CEO, Findhelp
Early success: Addressing the non-medical factors of health to improve outcomes
By removing social care barriers and increasing accessibility to quality, compassionate care in rural areas, this program is increasing positive health outcomes for TennCare members.
In just the first three months, the results of this transformation are clear:
- 13,455 social needs screenings completed
- 10,442 members’ HRSNs identified
- 4,031 referrals made to CBOs, all tracked and visible to the care team
“Community Compass is one of the best things our organization has done. We can help people with things like rental assistance with the money the incentive program has provided.”
Martha Dixon
Community Services Manager, Upper East Tennessee Human Development Agency
Our Tennessee Community Compass MCO partners
Findhelp customer since 2016
Wellpoint Tennessee, formerly Amerigroup Tennessee and an affiliate of Elevance Health, is dedicated to providing comprehensive health solutions to Tennesseans through various government-sponsored programs.
Findhelp customer since 2024
UnitedHealthcare Community Plan of Tennessee, an affiliate of UnitedHealth Group (a Findhelp customer since 2020) provides healthcare coverage to more than 414,000 TennCare members.
Findhelp customer since 2024
BlueCare Tennessee is a subsidiary of BlueCross BlueShield of Tennessee (a Findhelp customer since 2021) and provides healthcare solutions for over 700,000 TennCare enrollees.
Collaborative, scalable, and built for the public sector
To ensure coordination at scale, Findhelp established three coalitions, one for each MCO, to securely connect their networks of providers and service partners. The Tennessee Community Compass system integrates with TennCare’s existing case management and electronic health record platforms to automatically match members to eligible services, reducing administrative overhead and increasing reach.
“TennCare and Findhelp have built something that’s both high-tech and high-trust. This kind of collaboration, especially in rural communities, is how we build systems that work better for people and more efficiently for the government, not just on paper but in real life.”
Jacy Warrell
CEO, Rural Health Association of Tennessee
A blueprint for other states
As more state agencies seek to modernize service delivery, TennCare’s partnership with Findhelp offers a replicable model for closing gaps without expanding bureaucracy. By making internal processes faster and smarter, care teams spend less time filling out forms and more time supporting residents.
Next steps for Tennessee Community Compass
Throughout the next year, the TennCare and Findhelp teams are adding Phase 2 participants to the coalition of providers, with a plan to onboard 15+ new organizations as a part of the project. These additional healthcare, behavioral health, and mental health providers will join an ecosystem that is improving care coordination and health outcomes for TennCare members across the state.
Ready to support HRSN service delivery and reimbursement
We’re ready to help. Connect with our team to explore how Findhelp can support social care service delivery.
