Managed Care Industry

Medicaid plans operate on thin margins and face many of the same challenges:

• State Medicaid agencies are tightening MCO contracts through capitation withhold for not meeting quality measures.
  
  
• Auto-assign algorithms are aligned to performance, making redetermination key for avoiding revenue leakages.
  
  
• Consumer behavior changes toward using digital channels while many MCOs continue using legacy channels like telephone and mail, resulting in poor compliance.

Sagitec’s HealConnect is a digital-born solution to help MCOs with procedural efficiency in the short term while monitoring and improving social and behavioral attributes related to health in the long term.