With chronic disease on the rise, healthcare costs growing at the same time as funding cuts, Medicaid managed care organizations and States operating Medicaid programs are all seeking ways to innovate. Automated communications will allow Medicaid organizations a cost effective way to proactively reach their members with the information they need. The scope of value is wide and includes education, preventive and adherence programs, disease / case management, HRA and other surveys and the measure health management outcomes.