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States allow members to change plans within the first 100 days. Members are unaware of their Medicaid benefits, and no one has time to read a member handbook to understand them.
We run 100-day onboarding campaigns for new members – about 12 to 15 messages informing them of their benefits. Members consistently report over 85% satisfaction with these information campaigns.
Members are annoyed with calls, especially those that take more than 10 minutes to complete a screening. Drop off rates are high, and follow-up calls are not answered. Dismal completion rates lead to compliance issues.
Sagitec HealConnect uses digital channels like SMS and microsites to get members to complete their health risk screening. Typically, it takes less than 50% of the time and members complete it at their own convenience. Over 75% of the screening completions are after 3 pm.
Invalid addresses on file result in members not getting renewal reminders and notifications. Member procrastination and the cognitive burden of assembling documents lead to members not completing the application in time. The non-renewal results in lost premium revenues.
We start redetermination campaigns 90 days before the termination date, creating awareness through drip messaging. Directing members to community partners and other resources helps them resolve challenges and move forward when stuck. Over 60% of the members complete their recertification by the fourth reminder.
Providers are expected to contact members to schedule visits and medication refills. However, transportation challenges, access to pharmacies, and other social factors prevent activity completion. Low HEDIS scores result in capitation withholds or bonus not being paid.
Through sensitive messaging, HealConnect identifies barriers that prevent members from completing health visits. By addressing these barriers and actively reminding members we directly impact member behavior.
When members receive their rewards 6-8 weeks after completing a wellness visit, they do not remember the reason for the reward. In many instances, members are not aware of the activities that are eligible for rewards. As a result, there is minimal change in health behaviors.
HealConnect informs members of rewards they are eligible for, tracks the activity, verifies completion, and delivers rewards immediately. By separating activity tracking from reward fulfillment, health plans can experiment with reward types that change behavior.
Informing members of rewards or re-certification is a Membership activity, quality measure or health risk screening is a Care Management activity, and reward fulfillment is an administrative activity. These siloed organizational systems for member engagement result in poor performance and high administrative burden.
HealConnect allows health plans to consolidate their member engagement activities. Persona-based analytics allows Medicaid Plans to have a consolidated view of member interactions to drive next best action.
For onboarding and continued success.
Send data to your systems of record.
Support multiple languages.
HITRUST certified Microsoft Azure, adherence to NIST 800-53.
Sagitec empowered our MCO client to boost their HRA completion rates with the right tools and processes.
Sagitec’s Back to Office solution helps employees return to work safely with well-defined protocols.
Sagitec HealConnect uses messaging technology to automate key aspects of contact tracing.
HealConnect is a citizen outreach platform used for health risk screening of Medicaid members.
HealConnect is well suited for communicating with members through SMS, email, or live chat.
Getting members to renew their eligibility is critical to avoid revenue leakages.
“Sagitec has partnered with United Educations Insurance (UE) to provide application support and maintenance services to our core Policy and Claims Administration system. Their efforts have helped us in stabilizing the system by fixing bugs and making minor enhancements, resulting in an overall support ticket count down by 50% in the last few years. They have worked closely with us and other vendor partners (Product, QA, Hosting) and became part of our extended IT development and support team. We thank the Sagitec team for their continued partnership and contributions to UE."
Founded in 2004, Sagitec has focused on Public Sector and Healthcare industries. Today, Sagitec solutions are used by over 800k+ contributing employers and 5 million+ members. Sagitec’s HealConnect is an enterprise SaaS platform for Medicaid member engagement, deployed on HITRUST certified Microsoft’s Azure cloud.
Saint Paul, MN 55117