Medicaid Done Right
Medicaid Done Right is a bootstrapped, Florida-based firm that helps skilled nursing and long-term care facilities secure Medicaid eligibility and approvals for their residents through proprietary case management and document automation technology, serving 540+ facilities across 16 U.S. states.
- Company typePrivate
- Founded2012
- HeadquartersClearwater, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Medicaid Done Right does
Medicaid Done Right, LLC is a privately held U.S. company founded in 2012 and headquartered in Clearwater, Florida, that provides Medicaid eligibility verification, application processing, and annual recertification services to residents of skilled nursing and long-term care facilities. The company contracts directly with skilled nursing facility operators and their parent corporations across 16 states (including Florida, Texas, Ohio, Pennsylvania, and North Carolina), having processed 118,600+ Medicaid approvals and grown to 540-620+ facility customers. Its service offering is delivered through a combination of on-site field representatives, division managers, and a proprietary technology platform, the MDR Platform, anchored by two core technology components.
The core technology stack consists of Maverick Software, a case management and workflow platform that tracks pending Medicaid applications, automates follow-up with State Medicaid Offices, and provides administrative visibility for facility partners, and Financial Institution Automation (FIA) technology, which automates retrieval of financial documents required for Medicaid eligibility. Together, these tools reduce the administrative burden of manual Medicaid filing and shorten the time to approval, which is critical to facility cash flow because Medicaid reimbursements are the dominant payer in long-term care.
MDR's business model is professional services revenue generated through direct B2B contracts with long-term care facility operators and their corporate parents, with no public pricing disclosed. The go-to-market motion is enterprise field sales: the company shifted from individual case-by-case work to corporate-level contracts early in its history, enabling rapid geographic rollout. MDR is founder-owned and bootstrapped, with no disclosed venture or private equity capital, and is led by founders John Anderson (CEO) and Adam Rothman (President) alongside a leadership team that includes executives with Fortune 100 healthcare experience from Johnson & Johnson.
Medicaid Done Right firmographics
Firmographics- Name
- Medicaid Done Right
- Legal name
- Medicaid Done Right, LLC
- Website
- https://medicaiddoneright.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Medicaid Done Right is a bootstrapped, Florida-based firm that helps skilled nursing and long-term care facilities secure Medicaid eligibility and approvals for their residents through proprietary case management and document automation technology, serving 540+ facilities across 16 U.S. states.
- Ownership category
- akta.pro rank
Medicaid Done Right industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)
Keywords
Where Medicaid Done Right is headquartered
LocationHeadquarters
- HQ city
- Clearwater
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medicaid Done Right business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Facility Contract Services: MDR contracts directly with long-term care facilities to provide Medicaid eligibility and enrollment services. The company assists facility residents with the Medicaid application process from beginning to end, improving facility administrative efficiency and patient cooperation with Medicaid enrollment.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels2 records
Medicaid Done Right product offering
Product offeringCore offering
Medicaid Done Right provides end-to-end Medicaid eligibility and enrollment services for residents of long-term care and skilled nursing facilities. The company contracts directly with skilled nursing facility operators and their parent corporations across 16 states, guiding residents and families through the Medicaid application process from eligibility verification and financial document collection to application submission, status tracking, and annual recertification. Service delivery is supported by the proprietary Maverick Software platform and Financial Institution Automation (FIA) technology.
Product overview
Medicaid Done Right offers a single unified product suite centered on the MDR Platform, which encompasses proprietary Maverick Software for administrative workflow management and application tracking, along with Financial Institution Automation (FIA) technology for financial document collection. These integrated components work together to assist long-term care facility residents and their families through the Medicaid application process from eligibility verification through approval and recertification.
Differentiator
Problem solved
Functional benefit
Brands
- Maverick: Innovative software platform used to reduce administrative barriers, track pending applications, and follow-up with State Medicaid offices.
- FIA (Financial Institution Automation)
Products and services
- MDR Platform A web-based Medicaid eligibility and enrollment platform used by facility partners and residents to streamline the Medicaid application process, from initial eligibility verification through approval and recertification.
- Maverick Software Proprietary case management and workflow software used internally and by facility partners to reduce administrative barriers, track pending Medicaid applications, and follow up with State Medicaid Offices throughout the application lifecycle.
- Financial Institution Automation (FIA) Technology Proprietary automation technology that helps patients obtain financial documents they are unable to collect themselves, automating the document collection process required for Medicaid eligibility applications.
Quantifiable outcome
- 118,600+ Medicaid approvals
- +3 more outcomes
Companies that use Medicaid Done Right
Customer profileSegments2 records
Ideal customer profiles1 record
Medicaid Done Right technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
Medicaid Done Right partnerships and signals
Strategic signalScale indicators6 records
Recent moves6 records
Expansion highlights5 records
Medicaid Done Right competitors and assessment
Company assessmentBroad incumbents
- Maximus: Maximus is a large government services company that operates Medicaid eligibility and enrollment programs for state agencies. While broader in scope (also serving federal civilian, healthcare, and employment services), its Medicaid eligibility work is the closest large-scale analog to MDR's core service offering to skilled nursing facilities.
- Conifer Health Solutions: Conifer Health Solutions, a Tenet Healthcare subsidiary, provides revenue cycle management and patient access services including eligibility verification to hospitals and healthcare providers. While focused on acute care, its eligibility and enrollment workflows overlap with MDR's Medicaid application processing services.
- Optum (UnitedHealth Group): Optum is the largest healthcare services and innovation company in the US, providing revenue cycle management, population health, and government program administration for payers and providers. Its government health services and eligibility offerings operate at scale comparable in concept to MDR's services but across a much broader portfolio.
- Conduent: Conduent provides business process services and digital platforms for government agencies, including Medicaid eligibility processing and constituent services. It is a broad incumbent in government healthcare administration comparable to MDR's Medicaid application processing business at much larger scale.
- R1 RCM: R1 RCM is a leading provider of technology-driven RCM solutions for hospitals, health systems, and physician groups. Its patient access and eligibility services overlap with MDR's Medicaid eligibility work, though R1 focuses primarily on acute care providers rather than SNFs.
Emerging players
- PointClickCare: PointClickCare is a leading cloud-based EHR and care coordination platform serving skilled nursing facilities and senior living operators. It serves the same SNF customer base as MDR and could plausibly expand into or partner for Medicaid eligibility services, making it both an adjacent platform and potential competitive threat.
- WellSky: WellSky provides software and analytics for post-acute and home-based care providers, including skilled nursing facilities. It serves the same SNF and post-acute customer base as MDR and is positioned to expand into eligibility and enrollment workflows, making it a relevant platform peer.
- MatrixCare (ResMed): MatrixCare, a ResMed subsidiary, provides EHR and care management software for skilled nursing, senior living, and home care providers. It serves the same SNF customer segment as MDR and could expand into Medicaid eligibility workflows, positioning it as both an adjacent peer and potential competitor.
- HHAeXchange: HHAeXchange is a home care management platform serving home health agencies and managed care organizations with billing, scheduling, and EVV capabilities. While focused on home-based rather than facility-based care, it operates in adjacent long-term care Medicaid-funded services with comparable technology-led workflows.
Direct peers
- AGS Health: AGS Health is a revenue cycle management company providing medical billing, coding, and patient access services to healthcare providers. Its eligibility and patient financial services are directly comparable to MDR's Medicaid eligibility and application processing work, although AGS serves a broader provider base.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Medicaid Done Right financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medicaid Done Right leadership team
Management profileNumber of profiles
Profiles6 records
Medicaid Done Right funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medicaid Done Right M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medicaid Done Right
What does Medicaid Done Right do?
Medicaid Done Right provides end-to-end Medicaid eligibility and enrollment services for residents of long-term care and skilled nursing facilities. The company contracts directly with skilled nursing facility operators and their parent corporations across 16 states, guiding residents and families through the Medicaid application process from eligibility verification and financial document collection to application submission, status tracking, and annual recertification. Service delivery is supported by the proprietary Maverick Software platform and Financial Institution Automation (FIA) technology.
Is Medicaid Done Right a public or private company?
Medicaid Done Right is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Medicaid Done Right founded?
Medicaid Done Right was founded in 2012. It employs 101 to 250 people.
Where is Medicaid Done Right based?
Medicaid Done Right is headquartered in Clearwater, United States, in the North America region.
How does Medicaid Done Right make money?
One revenue line is on record: facility Contract Services.
Who are Medicaid Done Right's main competitors?
Broad incumbents on record are Maximus, Conifer Health Solutions, Optum (UnitedHealth Group), Conduent and R1 RCM. Emerging players are PointClickCare, WellSky, MatrixCare (ResMed) and HHAeXchange. AGS Health is listed as a direct peer.
Does Medicaid Done Right have an API?
No public API is recorded for Medicaid Done Right.
What industry is Medicaid Done Right in?
Medicaid Done Right's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLAEALAO, Government Program Administrative Services (Medicare/Medicaid ASO/TPA). Its NAICS code is 624120 and its SIC code is 8000.