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Members are annoyed with calls, especially those that take more than 30 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.
Invalid addresses on file results 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 of eligibility results in lost premium revenues.
HealConnect uses a digital lockbox to store documents and SMS reminders to guide members in their renewal process. Directing members to community partners and other resources helps them resolve challenges and move forward when stuck.
Providers are expected to contact members for scheduling visits and medication refills. Transportation challenges, access to pharmacies, and other social factors prevent activity completion. Low HEDIS scores result in capitation withholds or bonus not being paid.
HealConnect integrates with Uber Health and Lyft for scheduling rides for members. With the ability to verify visits and deliver rewards immediately, we can 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. Multiple channels like two-way messaging, email, phone call, and mobile app are supported.
Support multiple languages.
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.
Focusing on the member journey can help Medicaid organizations engage with them better.
Reduce administrative burden and improve health compliance.
“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.”
“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."