UCare delivers high-quality care to Medicare and Medicaid members in Minnesota and western Wisconsin. In support of their mission to continually improve member health, our focus was first on the Medicaid population and reducing over-utilization while increasing member satisfaction. Sophisticated data analytics were applied across 300,000 Medicaid members and we targeted high-risk individuals with chronic conditions exacerbated by behavioral and social barriers for the Multichronic Care Management program. After identifying the members with the greatest opportunity for impact, our clinicians worked closely with these individuals and addressed the “root causes” of under-compliance and over-utilization. A local outreach coordinator worked directly with the plan and providers to facilitate care coordination and meet member needs. Within one year, we helped UCare reduce ER visits, increase member satisfaction and realize a significant financial impact.