Retaining New Medicaid Members as States Resume Normal Eligibility and Operations
- Ravisankar CJ
- Thu, May 05, 2022
- HealConnect Medicaid
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.
How to Set-up Your Rewards Programs to Change Member Behavior
- Ravisankar CJ
- Fri, Mar 11, 2022
- HealConnect Medicaid
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.
Why Every Health Plan Leader Should Be Concerned About App Fatigue
- Ravisankar CJ
- Thu, Apr 08, 2021
- HealConnect Medicaid
Ever since the first mobile app was created in 1997 by Nokia (the popular arcade game snake) and popularized by Steve Jobs, phones have been increasingly using apps. However, some studies have shown that the number of available apps has begun to overwhelm users. A recent survey from Gartner found that 41% of mobile users have not downloaded a new app in the last six months and that mobile users spend 85% of their time on their phones using only five apps. This trend affects Managed Care Organizations (MCOs) and contributes to the growing problem of why engagement rates among members for mobile apps are down. With more than 1.96 million apps available on the app store, this ever-increasing trend is called app fatigue.
How MCOs Can Create Reward Programs that Drive Engagement
- Ravisankar CJ
- Thu, Mar 25, 2021
- HealConnect Medicaid
Rewards serve as the primary tool for Managed Care Organizations (MCOs) to incentivize healthy behaviors by their members. However, despite the investment some health plans put into these programs, they don’t always reach their intended goals. Rewards are used to promote healthy behavior to drive completion rates, but results are sometimes disappointing. If this has happened to your organization, don’t drop the idea of using rewards just yet. Instead, here are three ways you can create a rewards program that drive the results you want.
How Payers Can Prepare for Payer to Payer Data Exchange
- Lakshminarayanan Saravanan
- Tue, Mar 09, 2021
- HealConnect Medicaid
Getting ready for payer-to-payer data exchange as part of the CMS Interoperability mandate? If so, your priority as a payer is to address the need to aggregate your members' data from various former payers. While this mandate focuses on empowering members, it also makes payers rethink how member data needs to be aggregated and distributed.
Strategies for MCOs to Effectively Change Member Behavior
- Ravisankar CJ
- Tue, Mar 02, 2021
- HealConnect Medicaid
How can you get members to do what you need them to do? This is the number one challenge facing many Medicaid Health Organizations (MCOs). Member engagement is crucial for encouraging healthy activities that can improve outcomes and drive down costs for your organization. Plus, it’s the best way to make a positive impact in the lives of your members.
API Management Orchestration for FHIR Infrastructure
- Lakshminarayanan Saravanan
- Tue, Dec 29, 2020
- HealConnect Medicaid
API Management is a critical component of the payer’s FHIR infrastructure. It helps in fulfilling the security requirements of the CMS mandate and business services integration requirements to orchestrate with enterprise systems and services. Further, effective management helps you comply with the security requirements for monitoring, reporting, and managing access to the FHIR resources by external stakeholders, including third-party apps and health plans. We will briefly touch upon how this API management functionality is implemented within Sagitec’s HealFHIR in this blog.
Three Approaches for Medicaid Plans to Handle Customer SMS Messages
- Ravisankar CJ
- Tue, Dec 15, 2020
- HealConnect Medicaid
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.
Resources for Payers in the CMS InterOp and Patient Access API Journey
- Lakshminarayanan Saravanan
- Tue, Nov 17, 2020
- HealConnect Medicaid
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.
How Health Plans can Create Senior Friendly Mobile Designs
- Ravisankar CJ
- Thu, Nov 12, 2020
- HealConnect Medicaid
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.
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Sagitec is a global technology solutions company delivering dynamic, tailor-made IT solutions to leading public and private organizations. Subscribe to our blog to stay up-to-date with the latest industry news and trends.