Sunset Community Health Center (Sunset) worked with their largest Medicaid managed care payer, United Health Care, to increase access to care, reduce non-emergent emergency room visits, reduce admissions and re-admissions, and improve care for high-risk patients. The health center invested resources, including additional staff to improve care management, predictive modeling to identify high risk patients, and additional in house expertise. Sunset strengthened their relationship with United Healthcare and increased communication to support each organization’s goals.