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From Insights to Action: Why Data is Critical for Medicaid Member Engagement

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.

However, a recent survey among Managed Care Organizations (MCOs) found that 67% of respondents reported information technology systems were a barrier in setting up telehealth. This means that MCOs are not fully leveraging data to gain valuable insights into member demographics, health information, and engagement metrics. This critical information is what MCOs need to understand their members and promote the continuity of Medicaid coverage.

Here's a deeper dive into data's critical role for MCOs and how it can help promote engagement and healthy outcomes for members.

Data Unlocks Member Insights

Why do some members complete their recertification while others don't? What times of the day are the most effective to reach out to unresponsive members? Which communication strategy generates the best results? The questions to these – and more – are answered for MCOs by data.

Data collection lies at the heart of effective member engagement. MCOs must diligently gather data on member demographics, health information, and engagement metrics. This information identifies meaningful patterns, trends, and areas that require attention. This wealth of information enables MCOs to delve deeper into understanding their member population and unlock actionable insights that fuel engagement strategies tailored to unique needs.

Data Empowers Engagement Strategies

Member engagement strategies cannot afford to be one-size-fits-all. Every Medicaid member has unique characteristics, preferences, and needs. By analyzing member demographics, such as age, gender, income level, and geographic location, MCOs gain valuable insights into the composition of their member population.

Armed with this knowledge, MCOs can develop targeted engagement campaigns, reaching specific groups more effectively. Whether it's designing initiatives that resonate with young adults or tailoring programs to cater to the healthcare needs of the elderly, data analytics empowers MCOs to personalize their approaches, resulting in enhanced member engagement.

Data's Potential Unlocked by Software

Efficient data collection is crucial for MCOs to gather the necessary information on member demographics, health data, and engagement metrics. With the right software system, MCOs streamline their data collection, analysis, and usage processes.

To achieve this, MCO's data software system should have a few key features, including:

  • Centralized Data Management: this software feature eliminates the need for multiple disparate systems or manual data entry.
  • Automated Data Integration: The software system should seamlessly integrate with other MCO infrastructure systems.
  • Customizable Data Capture: The solution should allow MCOs to customize data capture forms and surveys.
  • Data Validation and Quality Checks: The software system should incorporate data validation mechanisms to ensure the accuracy and completeness of the collected data.
  • Scalability and Flexibility: As MCOs' member populations grow, the software system should be scalable to accommodate the increasing volume of data.


Data collection is at the heart of effective member engagement, and the right software system plays a critical role in streamlining this process for MCOs. By leveraging centralized data management, automated integration, customizable data capture, validation mechanisms, real-time reporting, analytics, scalability, and flexibility, MCOs can optimize their data collection efforts and unlock the full potential of data analytics for member engagement.

Sagitec’s HealConnect is a digital CRM platform for Medicaid and Medicare health plans that can help organizations better leverage their data.

Over 800k+ contributing employers and seven million+ members use Sagitec solutions.

For a demo or further information about the HealConnect platform, please contact Ravi Sankar (CJ) at 301-529-9852 or ravisankar.cj@sagitec.com.


Topics: HealConnect Medicaid