CHICAGO – Apr 6, 2021 – Hinduja Global Solutions (HGS) (listed in BSE & NSE) announced today that Michele Kratz, Vice President of Operations for its whole person care subsidiary, will be presenting on “Member Engagement Using a Multimodal Approach” at the Special Needs Plan (SNP) Alliance Spring Roundtable on Thursday April 8 at 10:00am ET. The SNP Alliance is the leading voice for specialized health plans for those that need them most, focusing on improving the health and well-being of individuals living with significant, complex needs through specialized managed care.
“The use of technology to strengthen member engagement has evolved rapidly in response to the COVID-19 pandemic,” said Michele Kratz. “We will explore strategies to incorporate the use of technology to increase engagement and re-engagement of the Dual Special Needs Plan (D-SNP) population. The need to go deep into the local community is essential for engaging and understanding D-SNP membership needs. We will discuss incorporating Community Health Workers into the MOC 2 model to support initial and ongoing engagement of a D-SNP membership.”
The Company also announced the introduction of its next generation Special Needs Plan (SNP) Model of Care solution, one of the only programs of its kind specifically designed to take a “whole person” approach to care management for members. According to CMS.gov, “The MOC provides the basic framework under which the SNP will meet the needs of each of its enrollees…ensuring that the unique needs of each enrollee are identified by the SNP and addressed through the plan’s care management practices.” The Company’s version 2.0 of its longstanding SNP MOC solution adds additional capabilities regarding identification, engagement, and addressment of social determinants of health (SDoH).
“With 90% of the nation’s annual health care spending going toward chronic disease and mental health conditions, a whole person approach is critical to lowering health care costs and improving health outcomes. Our SNP Model of Care uses data analytics to stratify all members and deploys both telehealth clinicians and locally-based community health workers to meet these individuals ‘where they are’ to boost engagement and address health barriers,” said Ramesh Gopalan, Group CEO of Sagility.
“COVID-19, which has caused more than 40% of Americans to report at least one mental or behavioral condition, has illuminated the need for payers to partner with Whole Person solutions within their SNP Model of Care which target the most at-risk and impactable members and aims to understand holistic health barriers, including behavioral and social determinants of health, in order to develop individualized care plans for their needs.”
Key benefits of the SNP Model of Care solution include::
- Engage hard-to-reach members, and complete all HRAs
- Meet SNP regulatory requirements
- Avoid failed audits, corrective action plans, and financial penalties
- Earn superior CMS Star Ratings
“The next generation of our SNP Model of Care solution, which combines robust analytics with high-touch engagement to meet vulnerable members ‘where they are,’ presents a major step forward for addressing health disparities and inequalities in our country,” Gopalan added.
The launch of Sagility’s latest SNP MOC program comes three years after the Company’s acquisition of AxisPoint Health, one of the few care management services to provide MOC 2: Care Coordination as an outsourced service to SNPs. According to NCQA, “Care coordination helps ensure that SNP beneficiaries’ health care needs, preferences for health services and information sharing across health care staff and facilities are met over time. Care coordination maximizes the use of effective, efficient, safe, high-quality patient services (including services furnished outside the SNP’s provider network) that ultimately lead to improved health care outcomes.”
To explore more about Sagility’s SNP Model of Care solution, check out https://SagilityHealth.com.
About Hinduja Global Solutions (HGS):
A global leader in business process management (BPM) and optimizing the customer experience lifecycle, HGS is helping make its clients more competitive every day. HGS combines technology-powered services in automation, analytics and digital transformation, with deep domain expertise focusing on back office processing, contact centers, traditional and digital customer care, and HRO solutions to deliver transformational impact to clients. Part of the multi-billion-dollar conglomerate Hinduja Group, HGS takes a true “globally local” approach, with over 41,110 employees across 59 delivery centers in seven countries, making a difference to some of the world’s leading brands across nine key verticals. For the year that ended 31st March 2020, the company had revenues of US$ 737 million.
Visit https://sagilityhealth.com to learn how Sagility can help make your business more competitive.