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Medicaid Managed Care Organizations (MCO) are facing several challenges such as a balancing act between tighter budgets, benefits coordination, paying timely claims to providers, legislation changes, and escalating costs.
High administrative costs due to incorrect addresses, members not re-certifying, and high call volumes
Manage member risk liabilities with capitated premiums while providers charge a fee for service
Siloed care management while most members have concurrent conditions - asthma, diabetes, hypertension, pregnancy, and obesity
Health impacts of social determinants like housing, food, and employment
Low awareness of benefits, with members struggling to understand how their plan works
Members can get notified about core benefits, Value Added Services (VAS) & Health Literacy
Members can get to know more about Providers (providers near them), community resources (food banks, farmers markets, health fairs), chat (offline/live) and on-demand scheduling for non-emergency medical transportation (NEMT)
Schedule, inform, manage and measure events like prenatal or childbirth classes. Create and manage both live and virtual events
Track medication compliance, schedule annual check-ups and doctor visits, conduct periodic assessments, screenings and impact HEDIS measures
"Immediate“ electronic rewards for desired behavior through vendor integration (for example, rewards show up in the app immediately after completing a wellness exam or attending a meeting)
Address validation, re-certification, electronic cards, chat for common questions
Are you ready to get started? Get your free trial by entering your info on the form. Our HealConnect experts will get in touch with you soon to give you a custom demo and access to the Medicaid Engagement Application.
“Sagitec has demonstrated that it is embracing Microsoft’s cloud-first mindset to provide public sector agencies the tools they need to create and deliver transformational solutions.”
"A major deciding factor in selecting Sagitec was their flexible and innovative approach. They are unique among the IT solution providers. They are implementing the system the way that we feel is right for us, rather than forcing us into something that just doesn't quite fit.”
"Our business relationship with Sagitec continues to grow through the successful implementation of the Mobile App. The result, PERSLink Member Self Service (MSS) Mobile App, fortifies our relationship with our clients, establishing NDPERS as a pioneer in connecting with our community while on the go."