Are new Medicaid members slipping through the cracks during onboarding?
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.
Are your members completing their health risk screening on time?
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 convenience. Over 75% of the screening completions are after 3 p.m.
Is your plan losing eligible members due to redetermination drop-offs?
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. This 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.
Are you able to identify member barriers to gaps in care?
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 bonuses 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.
Are you challenged by the low usage of your member portals and apps?
Traditional portals and apps often depend on member initiative – logins, downloads, and follow-through. For many Medicaid members, that’s a high bar. Forgotten passwords, complex registration to get into the portal, and app issues result in frustrated customers.
HealConnect delivers a proactive self-service experience by pushing actionable content directly to members via SMS and mobile browser. This helps plans regain control over critical workflows. 60% of assessments are completed after 5 p.m. and 25% of high/moderate-risk members request callbacks after ER visits.
Do you have a siloed system for member engagement?
Informing members of rewards or recertification 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.
Improve Software Efficiencies to Better Serve Your Community
Engage with hard-to-reach Medicaid members, document services provided, and close gaps in care.
Supercharge Your Care Team with Digital Copilot
HealConnect, a HITRUST-certified digital engagement platform, helps MCOs engage with hard to read members.
Boost Member Completion Rates with Sagitec’s Digital HRA Solution
See how HealConnect helps reduce the administrative burden and improve health compliance.