An effective engagement strategy is critical for helping Managed Care Organizations (MCOs) connect and communicate with their members. Our previous post explored the steps MCOs should take to construct an effective and scalable outreach strategy.

Managed Care Organizations (MCOs) play a pivotal role in ensuring the well-being of Medicaid members. They help coordinate members’ services, ensure efficient access to quality care, and promote overall well-being. However, MCOs face a considerable challenge in their efforts: reaching and engaging with members.

As the healthcare industry continues to evolve, so do the strategies for engaging and empowering members to take charge of their well-being. Emerging technologies, such as Artificial Intelligence (AI) and Machine Learning, are revolutionizing member engagement by offering personalized healthcare recommendations, predictive analytics for identifying health risks, and AI-powered virtual assistants for continuous support.

Data analytics has emerged as a game-changer in healthcare. One of the main ways data plays a role is by improving patient behaviors and engagement. A recent study found that data could help cut healthcare costs by 12-17% while improving care.

Medicaid faces significant changes in 2023 that could significantly impact Medicaid Members and Managed Care Organizations (MCOs). The expiration of the Public Health Emergency occurring later in 2023 sets up changes to Medicaid enrollment, impacting and changing the coverage of millions of Americans.

Health plans have always had trouble engaging their members – particularly when it comes time for members to renew their eligibility. Traditional outreach methods that prompt this engagement are often time-consuming and expensive. Plus, their lackluster results leave many plans wanting more from their efforts.

Health plans are always looking for new ways to engage with their members. Whether it’s to get members to complete Health Risk Assessments (HRAs) or to promote long-term healthy behaviors, finding effective outreach methods is critical. But, as most Managed Care Organizations (MCOs) know, this is easier said than done.

Medicaid MCOs benefited from the freeze on redeterminations during the COVID-19 pandemic. As a result of the freeze, Medicaid MCOs have experienced significant member growth.

There's the old saying, "you can lead a horse to water, but you can't make him drink." Managed Care Organizations (MCOs) know this difficulty when encouraging healthy, positive behaviors among their members. From completing health assessments to performing wellness tasks, getting members to act on compliance requirements is a costly and time-consuming affair.

Employer’s number one concern during the pandemic is ensuring the safety of their employees. For most of the lockdowns, this meant changing workplace policies and enabling more work from home opportunities. Before the pandemic, only 6% of the U.S. workforce worked remotely, and over 75% had never completed work outside the office. During the peak period of lockdowns, 71% of the total U.S. workforce worked from home. These new measures cut down the risk of infection and improved the well-being of employees.