Ensure continuity of care and maximize revenue
Millions of individuals have lost their Medicaid coverage as states have resumed redetermination – the majority due to procedural reasons.
Helping eligible individuals maintain Medicaid coverage requires immediate action and personalized assistance. With Firstsource Medicaid Redetermination services, you can quickly connect with your members to support renewal and ensure continuity of care.
Improve member communication and outreach with multi-channel outreach
Move from a reactive member follow-up mode to proactive digital engagement – from Day 1
Convert potential member disenrollment and revenue-at-risk scenarios into continuity of care and revenue maximization
Design a solution that works best for you
Our modular Medicaid Redetermination solution blends digital engagement with proactive outreach, helping you reach your members with critical information about renewal, and improve response rates within 30 days of implementation. With our scalable, compliant, and flexible solution, you can pursue a course of action that best fits your business needs.
- In compliance with the FCC regulations, utilize the Reassigned Numbers Database (RND) to verify member phone numbers prior to outreach
- Enrich campaign data for right phone numbers (subject to state and health plan approval)
- Rapidly scale outreach: ensure comprehensive member contact
- Simplify communication: use SMS, email, live agent voice calls, to drive education and awareness with multi-language support in English and Spanish Respond to inbound inquiries
- Provide 24/7 support self-service microsite enables convenient, online appointment scheduling, directs eligible members to the state renewal portal, and nudges ineligible members to the marketplace to explore alternate coverage options
- Personalized assistance: trained, state-certified agents* help members with state portal navigation and completing renewal forms (*subject to state approval and Case Assistance Affiliate training)
- HIPAA-compliant video-calling, co-browsing, screen, and file-sharing tool to facilitate two-way collaboration
- Easy to use, web-based, no download or installation required
Stay ahead with Firstsource
Improve engagement with a seamless, personalized assistance.
Ensure timely submission and reduce member churn with proactive outreach and support
Meet CMS mandates, track performance with dashboards that offer granular visibility into day-to-day progress
Ready-to-go platform: secure, cloud-based, no integration with health plan network required
Leading Texas-based Medicaid Health Insurer selects Firstsource to help members with Medicaid Redetermination
- Client wanted to reduce member confusion by educating them about the Medicaid Redetermination process during the PHE unwinding, ensuring they are adequately prepared to submit renewal forms on time.
- Firstsource’s end-to-end Medicaid Redetermination solution helped educate, ensure comprehensive outreach across member cohorts via digital channels to ensure members had 24/7 support and personalized virtual assistance required to ensure continued access to care.
- The result? Nearly 24% members filed a completed application, of which >35% were re-enrolled/re-certified, ensuring member retention and revenue integrity for the client.
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