When the global Coronavirus pandemic hit the U.S. economy in early 2020, the U.S. unemployment rate spiked. New legislation complicated benefits distribution as new systems, new business rules, and new processes were stood up at a moment's notice to deal with the crisis. Of course, one objective for all Sagitec's customers was performance—we needed to serve the hundreds of thousands of people accessing our applications every day.

For Medicaid plans, there has been a shift in the way members communicate. With a clear preference for texting over calls, it’s important to align with this preference. Further, SMS is an efficient channel of communication and can help your organization serve more members while improving quality. Whether it’s being used to send informational messages and reminders to the members, the benefits are numerous.

ALM tools are the ‘source of truth’ through the software development lifecycle to update all stakeholders in real-time. These tools manage requirements, acceptance criteria, documentation, test cases, problem incident reports (PIRs) – bringing processes, and people together.

Bill Gates once said, “Business will change in the next ten years more than it has changed in the last fifty years.” Technology is changing so rapidly today that it will be even faster tomorrow.

Since the pandemic, State Workforce Agencies (SWAs) have been moving toward online solutions and call center services. However, these approaches could not meet the demand generated by the pandemic. Interactive Voice Response (IVR) systems were challenged under increased load. This led to SWA’s searching for ways to increase customer service during these unprecedented times.

CMS Interoperability compliance is a long-term journey for Payers. IT systems and processes not only have to be realigned to meet the requirements of the new mandate but also must be nimble enough to adapt quickly to changing business models as patient adoption increases. To best meet these demands, payers should focus on putting together an FHIR infrastructure that complies with the mandate and provision it to extend and scale as the mandate as patient adoption evolves.

The COVID-19 pandemic has driven more businesses online than ever before. With health care plans growing their number of older members, this may not be welcome news. Even though remote mobile service is a growing industry trend, a study from the Pew Research Center found only 26% of internet users aged 65 and over were “very confident” when using smartphones. Optimizing your plan’s mobile design to accommodate their needs should be a key focus heading into 2021.

In an effort to provide members with access to their health data, government sponsored health plans are required under the new CMS mandate to better support interoperability and access to patient data. With the mandate coming into effect in only a few months, payers need to act quickly on ensuring their organization's compliance. One of the key steps in ensuring ongoing compliance is to evaluate and choose the right type of cloud deployment model for the FHIR server. The choice comes down between two options: cloud-hosted open-source system (OSS) FHIR server and managed FHIR server offered as Platform as a Service (PaaS).

On March 27, 2020, U.S. Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act in response to the economic fallout of the COVID-19 pandemic. State Workforce Agencies (SWAs) across the nation scrambled to develop technical solutions to accommodate millions of Americans suddenly eligible for unemployment benefits. Throughout the pandemic, rules, policies, regulations, and legislation were—and remain—fluid and evolving and SWAs are interpreting and implementing federal and state changes constantly. 

The first-ever virtual National Council on Teacher Retirement (NCTR) conference was a culmination of great ideas, discussions on the changing pandemic situation and how it affects work, and how technology plays a decisive role in keeping data secure. Our Chief Information Officer Warren Gordon was on a panel speaking about All things IT: from Cybersecurity to Telecommuting. Here are his thoughts and excerpts from the discussion.