Medicaid redetermination
As the Medicaid Continuous Enrollment Provision concludes, health plans are concerned about reaching and engaging millions of members concerning Medicaid eligibility and enrollment requirements.
SameSky Health understands the urgency of reaching Medicaid members and engaging them in taking important steps necessary to go through this required process. We are partnering with health plans across the country to support their members as they navigate re-enrollment.
CultureGuide® Continuous Enrollment Pathway
A component of CultureGuide, the Continuous Enrollment Pathway utilizes a multimodal engagement approach that combines technology with a human touch, engaging members to accomplish the following:
Raise renewal awareness
Update contact information
Provide clarification around the renewal process based on individual state requirements
Facilitate answers to questions and concerns
Send reminders of due dates
Enable connections to the right support
“Now is the time to think outside the box. We’ve never seen this much flexibility in policy and processes. We should take advantage of it and prove that new ways of doing things may indeed be better ways.”
Learn how to effectively reach and engage Medicaid members
SameSky Health is a company building a more equitable world; one where no culture is left behind. Our CultureGuide solution brings together intelligence, technology and expertise, to create a unique cultural experience for the members our clients serve, bringing everyone access to the care they need, when they need it.
Below, we offer a range of informational resources that provide some key points about Medicaid redetermination, along with how we’re helping health plans reach Medicaid members.
Understanding the fundamentals
Learn the basics by downloading our primer, 5 steps to prepare for the unwinding of the PHE, or watch our Founder and CEO, Abner Mason, walk through the steps in this short video. SameSky Health is here to help plans execute the five steps to reduce coverage loss for their members.
Case study: Culturally tailored outreach
“Building trust with members requires two things: humility and patience.”
Culture is not the first thing that comes to mind when thinking about healthcare — but it should be. Elements specific to ethnic, racial, religious, geographic, or social groups play an integral role in understanding who health plan members are and how they interact with the healthcare system. Take a look at three case studies discussing how culturally tailored outreach drove results.
Webinar: A Pragmatic Approach to Addressing Health Equity
Health equity begins with understanding the unique beliefs and behaviors of individuals to build trusted, culturally relevant connections. In this March 10, 2022 webinar, Abner Mason, CEO and founder of SameSky Health, and Pooja Mittal, Medical Director of Health Equity for HealthNet, share a pragmatic approach to addressing health equity, focused on helping members more effectively engage within the healthcare system. They provide examples of the impact health plans can have by creating personalized member experiences that are responsive to their needs. Presented in association with AHIP.
White paper: Better data for more equitable healthcare
Advancing health equity begins with accurate data collection. Health plans play a critical role in driving this effort because of their visibility into members' needs. They must collect essential data about individuals, including:
Race, ethnicity, and language (REL) data
Sexual orientation and gender identity (SOGI) data
Social determinants of health (SDOH) information
Resource: 50-state unwinding tracker
From the Georgetown University Health Policy Institute
Obtaining the correct contact information from members is a task that must begin immediately so you can help members with renewals once the PHE declaration expires. View this resource to see what information your state has posted as they prepare for the unwinding of the Medicaid continuous coverage protection at the end of the PHE.
Take the next step
Contact us to begin your continuity of coverage outreach.