Our Services
Qārtek offers an advanced innovative approach towards facilitating member engagement to provide an opportunity for Medicaid-based, Managed Care Organizations to connect with their members and provide a positive, constructive environment to encourage continued health and wellness.
Qartek, through cutting edge technology and personal contact, will help people navigate obstacles and make informed quality decisions by providing a seamless, integrated healthcare experience.
We ensure continuity in health care services through a best-in-class technology system to LOCATE and FACILITATE the redetermination process. Our integrated patient engagement and enrollment system allows for increased access and enhanced end-user experience with on-demand enrollment support features.
Our distinct lines of service are tailored-made for Managed Care Organizations and include: Member Rewards & Incentives, Health Risk Surveys (HRS), and Redetermination Processing.
Member Rewards & Incentives
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Consistent member engagement efforts builds trust with members
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Automated contact provides opportunity to send earned rewards to members.
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Utilize best in class vendors such as Amazon to help distribute incentives.
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Distribution of rewards are securely performed through text, email, or mail.
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Program can limit reward redemption for certain products (eg. Health, wellness, education, or maternity).
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Can be expanded to other major retailers.
Health Risk Surveys
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Capitalize on existing member engagement and regular contact.
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Work with members to fully complete HRS forms.
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Completion can be done via secured text, phone, chat box, or web application.
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Automatically review submitted forms for accuracy and completeness.
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Return satisfactory HRS to MCO's to help increase quality scores.
Redetermination
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Federal requirement to verify eligibility status.
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Illinois meets this requirement by requesting information through the mail.
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A low response rate means that enrollees are dropped from Medicaid and MCOs lose their reimbursements for disenrolled members. A member who re-enrolls at a later time may get auto-assigned to a new MCO.
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Our State-of-the-Art system increases member engagement and reenrollment utilizing Google technology and is SOC 2 certified.
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Higher reenrollments ensures continuity of care and better outcomes for patients.