Reaching Members Where They Are: How MGEngage360 Is Transforming PERS into a Smarter Outreach Tool 

Reaching Members Where They Are: How MGEngage360 Is Transforming PERS into a Smarter Outreach Tool 

Health plans are under increasing pressure to close care gaps, improve member experience, and lift quality metrics like HEDIS and CAHPS—all while navigating tight resources and engaging populations that are often difficult to reach. MGEngage360, MedScope’s built-in member engagement platform, offers a new approach: leveraging the personal emergency response systems (PERS) that members already use and trust. 

Instead of relying on apps, portals, or unfamiliar technology, MGEngage360 uses the PERS device to deliver AI-powered calls, personalized recordings, or live check-ins from our wellness team, making it easier to connect with high-risk, high-need members in a way that feels familiar and non-intrusive. 

Built for Medicaid, Dual Eligibles, and HCBS 

MGEngage360 is especially effective for complex, high-need populations—including Medicaid, D-SNP, and those receiving Home and Community-Based Services (HCBS). Our PERS devices, engagement tools, and reimbursement models were purpose-built to serve managed care organizations (MCOs) working with vulnerable populations that are often hardest to reach. 

Results with MGEngage360 (included with PERS at no cost): 
  • 95% Member Satisfaction Rate 
  • 70% Engagement Rate 
  • 16% Increase in Fall Risk Assessments and Prevention Education 

We pair this with a highly cost-effective tech + touch approach that supports care management teams, surrounds members with the right level of engagement, and strengthens delivery systems. With MGEngage360, we turn daily safety into daily strategy for MCOs. 

Smarter Outreach That Delivers Results 

MGEngage360 is already deployed across thousands of members nationwide and is seamlessly included with MedScope PERS—meaning no added cost, setup, or IT lift for your organization. 

Here’s what plans using MGEngage360 are seeing: 

  • 3–4x Higher Response Rates
    Outreach through the PERS device sees 3 to 4 times higher response rates compared to traditional channels. 
  • 50%+ Care-Gap Closure Rates
    Health plans are closing more than 50% of preventive care gaps like screenings, follow-ups, and vaccinations. 
  • Boosted HEDIS, CAHPS & Star Ratings
    Through pre-CAHPS surveys, medication reminders, and wellness prompts, plans improve satisfaction scores and quality metrics. 
  • Customizable Engagement
    MGEngage360 campaigns can be tailored by line of business—including D-SNP, MLTSS, and PACE—to meet specific needs of your member populations. 
Future-Proofing Your Value-Based Care Strategy 

MGEngage360 is just one part of a broader ecosystem designed to improve outcomes and deliver meaningful cost savings. MedScope offers the only cohesive solution that integrates PERS, Remote Patient Monitoring (RPM), and Chronic Care Management (CCM) into a unified strategy that supports your value-based care goals. 

Results from bundling PERS, RPM, and CCM with MGEngage360: 

  • 5% to 10% Reduction in Total Cost of Care 
  • 50% Attributable Reduction in 30-Day Hospital Readmissions 
  • 10% Increase in Preventive Care Screening Quality Measure Performance 

Whether your priority is closing care gaps, increasing engagement, or reducing avoidable utilization, MedScope helps move the needle—with data-driven insights and proven outcomes. 

Engagement Built In. No Integration Required. 

MGEngage360 is already embedded in every MedScope PERS device. That means smarter outreach is available from day one—no integration, no additional cost, no training required. 

Just better results, built in. 

Learn More About MGEngage360

Discover how MedScope can help you engage members, improve quality, and reduce costs—all through the tools members already trust. Visit www.medscope.org today!

Strengthening Medication Adherence: Behavioral Strategies for Case Managers

Strengthening Medication Adherence: Behavioral Strategies for Case Managers

Improving medication adherence is a major challenge in healthcare. Case managers play a critical role in bridging the gap between prescribed medications and patients actually taking them as directed. This blog highlights practical, evidence-based techniques to enhance adherence, focused on patient education and behavioral support.

1. Why Medication Adherence Matters
  • Only 50% of patients with chronic illness follow their medication plans. This leads to treatment failure, hospitalizations, and preventable costs of $100–300 billion annually in the U.S. (AAFP). 
  • Non-adherence is linked to 125,000 deaths each year (Dialog Health). 

As trusted patient advocates, case managers are uniquely positioned to improve these outcomes through tailored support and innovative tools.

2. Identify Barriers to Adherence

Patients may skip doses for many reasons: 

  • Unintentional barriers: Forgetfulness, complex schedules, or unclear instructions. 
  • Intentional barriers: High costs, fear of side effects, or doubts about effectiveness. 

According to the CDC, effective adherence strategies must consider these challenges and offer personalized solutions (CDC).

3. Simplify and Support
  • Simplify regimens by consolidating medications into once-daily doses where possible (JAMA). 
  • Provide tools like pillboxes, blister packs, and reminder systems to help patients stay on track (CDC). 
  • Recommend digital solutions, such as mobile apps, that alert patients about upcoming doses.
4. Educate and Empower Patients

Clear education can change behavior: 

  • Use plain language to explain why each medication matters and what benefits to expect. 
  • Provide printed instructions, videos, and demonstrations for patients with different learning styles (US Pharmacist). 
  • Encourage questions and involve caregivers for additional support. 
5. Apply Behavioral Techniques
  • Use motivational interviewing to explore patient concerns and increase their confidence in following treatment plans (JAMA). 
  • Help patients set realistic goals and build routines, making medication-taking a habit. 
  • Implement behavioral contracts or self-monitoring tools to strengthen accountability.
6. Collaborate and Follow Up

Case managers can collaborate with pharmacists and other healthcare professionals to: 

  • Conduct medication reviews. 
  • Provide regular check-ins to monitor progress and troubleshoot barriers. 
  • Offer refill reminders and assistance navigating prescription coverage. 

Regular support has been shown to significantly improve adherence rates (CDC). 

How MedScope Supports Medication Adherence 

At MedScope, we understand how critical it is to keep patients engaged in their care. Our Personal Emergency Response Systems (PERS) and remote monitoring solutions are designed to: 

  • Provide 24/7 access to help in case of medication-related emergencies. 
  • Offer check-ins and reminders, supporting patients with complex medication schedules. 
  • Enable case managers to stay connected and intervene early when adherence issues arise. 

By integrating MedScope’s tools into care plans, case managers can help patients maintain independence while improving health outcomes. 

Help Your Patients Stay on Track 

Improving medication adherence takes education, behavioral support, and the right technology. MedScope’s solutions make it easier for case managers to monitor patients and provide consistent care. 

Learn how MedScope can support your patients and care team. Request more information here. 

Protecting Patient Data: Ethical and Practical Considerations for Medicaid Programs 

Protecting Patient Data: Ethical and Practical Considerations for Medicaid Programs 

Best Practices for Case Managers to Ensure HIPAA Compliance and Foster Trust 

In Medicaid programs, safeguarding patient privacy is more than a legal obligation—it’s a moral imperative. Case managers play a vital role in coordinating care for vulnerable populations, many of whom face barriers like chronic illness, housing insecurity, behavioral health challenges, or distrust in the healthcare system. When handling sensitive information, even small missteps can compromise a patient’s trust, and their willingness to engage in care. 

The Health Insurance Portability and Accountability Act (HIPAA) sets clear expectations for how protected health information (PHI) should be collected, stored, and shared. But for case managers, the goal isn’t just compliance—it’s compassion. Applying HIPAA guidelines with empathy and intention builds stronger, more trusting relationships with the people you serve. 

Here are key ethical and practical considerations to help Medicaid case managers uphold HIPAA protections while delivering person-centered care.

1. Practice the “Minimum Necessary” Standard

HIPAA requires that healthcare professionals only access or share the minimum amount of PHI necessary to complete a task. This standard helps reduce the risk of accidental disclosures and reinforces ethical data use. 

Internal risks are still a critical threat, over 90% of healthcare organizations experienced multiple data loss incidents in the past two years—mostly caused by employee mistakes. Half reported impacts on patient care, including delays, poor outcomes, and even increased mortality.

How to apply this in daily work: 

    • Share only what’s relevant when coordinating with providers or vendors
    • Customize requests instead of pulling full medical histories
    • Be mindful when documenting social or behavioral health factors—include only what is essential for care planning 

This practice not only protects privacy but also demonstrates respect for a patient’s dignity.

2. Use Secure Communication Methods

Fast-paced environments and heavy caseloads can make it tempting to take communication shortcuts. But texting PHI or emailing from a personal account puts data—and your organization—at risk. 

Best practices include: 

    • Use encrypted email or secure messaging platforms
    • Double-check email recipients before sending sensitive information
    • Avoid discussing PHI over speakerphone in public or shared spaces
    • Never store or share PHI on unauthorized cloud services or devices 

When in doubt, consult your compliance or IT team to ensure you’re using the correct tools. 

Internal risks demand secure tech, 53% of all Protected Health Information (PHI) breaches are caused by internal staff—not hackers. Choosing a HIPAA-compliant communication platform isn’t optional; it’s essential for preventing accidental data exposure and maintaining trust.

3. Safeguard PHI in the Field

Many case managers work in community settings, visiting homes, shelters, or meeting clients in public spaces. This flexibility is important—but it requires extra attention to data protection. 

Tips for working securely on the go: 

    • Enable automatic screen locks and strong passwords on mobile devices
    • Use two-factor authentication when logging into systems
    • Avoid storing PHI on personal devices
    • If paper records are necessary, keep them in a locked bag and shred as soon as possible after use
    • Log out of systems completely when not in use 

Even brief lapses in device security can lead to unintentional exposure.

4. Normalize Privacy as Part of Organizational Culture

Compliance shouldn’t be something that happens behind the scenes. When data privacy is discussed openly and regularly, it becomes part of how teams think and work. 

Encourage a culture of privacy by: 

    • Bringing up HIPAA scenarios in team meetings
    • Encouraging staff to ask questions or raise concerns without fear
    • Acknowledging and rewarding attention to data protection
    • Making sure new hires receive clear, practical HIPAA training 

Supervisors should model best practices consistently and support team members in upholding privacy standards in real-world situations.

5. Engage Patients with Transparency

Many Medicaid recipients are wary of institutions—often with good reason. Taking the time to explain how their information is used can go a long way toward easing concerns and building trust. 

Consider these simple strategies: 

    • Explain what information is being collected and why
    • Reassure patients that only individuals directly involved in their care will access their records
    • Answer privacy questions with honesty and empathy
    • Share how their information is protected, and what their rights are under HIPAA 

When patients feel in control of their information, they’re more likely to engage and follow through on care plans.

6. Partner with HIPAA-Compliant Vendors

Whether ordering a personal emergency response system (PERS), arranging transportation, or connecting patients with social services, case managers often need to share PHI with external partners. It’s essential to confirm those partners follow HIPAA standards. 

At MedScope, we make it easy for case managers to submit referrals securely through: 

    • Encrypted online portals
    • Dedicated fax and phone referral lines
    • HIPAA-compliant email submissions using organizational platforms 

We’ve built our systems with Medicaid workflows in mind so that case managers can focus on care, not compliance paperwork. 

Partnering with the right tech matters. Covered health care providers and health plans must use technology vendors that comply with the HIPAA Rules and will enter into HIPAA business associate agreements.

7. Report and Respond to Incidents Quickly

Even with the best systems in place, mistakes can occur. A laptop might get lost, a fax might go to the wrong number, or an email could be misaddressed. 

The most important thing you can do in those moments is act quickly: 

    • Report potential breaches immediately
    • Follow your organization’s incident response procedures
    • Learn from each situation and share lessons with your team 

Prompt, transparent responses protect patients—and demonstrate your commitment to doing the right thing. 

Final Thoughts: Privacy as a Foundation of Trust 

HIPAA is more than a rulebook—it’s a reflection of what it means to treat patients with dignity and respect. For Medicaid programs and the case managers who power them, protecting patient data is foundational to delivering ethical, equitable care. 

By committing to secure communication, intentional information sharing, and transparent engagement, you help ensure that every member feels seen, respected, and safe. 

Want to learn more about MedScope’s HIPAA-compliant solutions? Contact us today!

 

From Burnout to Better Outcomes: How MedScope’s Connected Care Tools Are Changing the Game for Nurses and Case Managers 

From Burnout to Better Outcomes: How MedScope’s Connected Care Tools Are Changing the Game for Nurses and Case Managers 

Each May, during National Nurses Week, we pause to honor the nurses and case managers who serve as the backbone of healthcare. Their tireless commitment, expert care, and deep compassion help patients heal and thrive. But these dedicated professionals are under growing pressure—from rising caseloads and complex patient needs to the emotional toll of navigating a fractured healthcare system. 

At MedScope, we believe empowering care teams means more than expressing gratitude—it means giving them the tools and technology to work more efficiently, stay connected to their patients, and ultimately provide safer, more person-centered care. 

Through a comprehensive suite of Personal Emergency Response Systems (PERS), Remote Patient Monitoring (RPM), and engagement solutions, MedScope helps reduce administrative burdens, enable earlier interventions, and improve both patient and caregiver outcomes. In this blog, we explore how these technologies support nurses and case managers in meaningful ways—and why investing in them is essential to building a more sustainable healthcare workforce. 

A System Under Stress: The Realities Nurses and Case Managers Face 

Healthcare teams are stretched thin. A study by the American Nurses Foundation found that 56% of nurses experience burnout, citing emotional exhaustion and administrative overload as top concerns. Case managers—especially those coordinating care for Medicaid and Medicare populations—face similar challenges, managing high-risk patients across fragmented systems with limited time and resources. 

Too often, skilled clinicians spend their days chasing paperwork, making follow-up calls, or reacting to avoidable crises. This reactive, high-stress environment not only leads to fatigue and turnover but also threatens care quality. 

That’s where proactive technology solutions come in. 

Lightening the Load with PERS, RPM, and Engagement Tools 

MedScope’s integrated approach is designed with care teams in mind. Our solutions streamline workflows, enhance patient visibility, and reduce manual tasks, allowing nurses and case managers to focus on delivering care—not chasing data. 

  • PERS (Personal Emergency Response Systems) give patients 24/7 access to help at the press of a button—whether at home or on the go—helping to prevent hospitalizations, reduce emergency room usage, and provide peace of mind to caregivers. Nurses and case managers can rest assured knowing patients have a safety net, especially those living independently or with chronic conditions. 
  • RPM (Remote Patient Monitoring) captures real-time health metrics, such as blood pressure or oxygen levels, and flags concerning health trends. With this insight, clinicians can intervene earlier and avoid escalation. It transforms care from reactive to preventive. 
  • Engagement Solutions, powered by AI and supported by our dedicated wellness team, help close care gaps by identifying at-risk or disengaged members and  ensuring timely outreach. From automated reminders to live wellness check-ins, these tools ensure members stay connected to their care plans—freeing up nurses and case managers to focus on high-priority interventions without getting bogged down by manual follow-ups. 

Together, these tools improve visibility into patient status and help care teams manage more people, more effectively—without sacrificing quality or burning out. 

Proactive, Person-Centered Care Made Possible 

Nurses and case managers thrive when they can deliver the kind of care that drew them to the profession in the first place: personalized, proactive, and compassionate.  However, to do that effectively, they need timely, actionable insights. 

MedScope’s PERS and RPM solutions send notification alerts when a patient presses their help button, triggers an emergency call, or exhibits out-of-range biometric readings. Our 24/7 monitoring center evaluates the situation, dispatches emergency services if necessary, and keeps the care team informed throughout the resolution—ensuring coordinated care without placing additional burden on clinical staff. 

Our engagement solutions complement this by making it easier to reach traditionally hard-to-reach populations. Whether through outreach via the member’s PERS device, direct phone calls, or mailed reminders, we help schedule important appointments such as screenings, wellness checks, and vaccinations. This not only improves preventive care and reduces avoidable emergency visits but also allows case managers to focus on more meaningful tasks—confident that scheduling and outreach are already being handled behind the scenes by MedScope’s services. 

Improving Outcomes for Patients and Providers 

When patients are engaged in their care and feel supported at home, everyone wins. Our solutions help achieve that by: 

  • Increasing patient safety with reliable PERS coverage at home and in the community 
  • Promoting independence, especially for aging adults and those with disabilities 
  • Reducing avoidable hospitalizations through early interventions and remote monitoring 
  • Enhancing satisfaction among both patients and the care teams supporting them 

In fact, many case managers report that their patients feel more confident living independently when they have a MedScope device, and that translates to better adherence to care plans, reduced stress, and fewer emergency events. 

Real Impact, Real Stories 

Behind every device is a person—and behind every person, a care team working hard to keep them safe and supported. At MedScope, we’re honored to play a small part in those stories of care and connection. 

One case manager recently shared: 

“Your device helped one of my member’s and he is very grateful to have had your fall detection wireless device, which he feels saved his life. Thank you for everything you and your company does for our member’s.”
CM, NM 

This kind of impact is why we do what we do. Whether it’s preventing hospitalizations, giving patients greater confidence to live independently, or lightening the load for dedicated professionals, our solutions are designed to deliver peace of mind and better outcomes for all. 

Celebrating and Supporting Our Frontline Teams 

National Nurses Week is an opportunity to say thank you. But real support goes beyond appreciation—it’s about investing in the infrastructure that allows nurses and case managers to thrive. 

That means giving them tools that: 

  • Reduce workload 
  • Promote timely, efficient care 
  • Provide visibility into patient health and behavior 
  • Allow them to focus on building relationships and driving outcomes 

At MedScope, we’re proud to stand beside the clinicians and case managers who make healthcare work. Our solutions are built to empower them—today, during Nurses Week, and every day after. 

Conclusion: Building a Better Future Together 

Empowering nurses and case managers doesn’t just improve morale—it improves care. By leveraging technologies like PERS, RPM, and engagement platforms, we can reduce the burden on care teams, enhance patient outcomes, and create a more sustainable, connected healthcare system. 

This Nurses Week, let’s celebrate our caregivers not just with gratitude—but with the support and tools they deserve. If you would like more information about MedScope solutions, contact us today!

Closing the Gap: Data-Driven Solutions for Minority Health Disparities in Medicaid Chronic Disease Management 

Closing the Gap: Data-Driven Solutions for Minority Health Disparities in Medicaid Chronic Disease Management 

Addressing Chronic Disease Management in Medicaid Populations 

April is National Minority Health Month, a meaningful opportunity to recognize the importance of equitable care in managing chronic conditions across all communities. For Medicaid case managers, particularly those working with Black and Hispanic populations, chronic diseases like diabetes, hypertension, and asthma present complex challenges—deepened by systemic barriers and social determinants of health (SDoH). 

The Reality: Health Disparities in Medicaid Chronic Disease Care 

Recent research makes the need for targeted solutions clear: 

These disparities highlight the importance of meeting Medicaid members where they are—with empathy, education, and the right tools. 

What Works: Community-Centered Strategies That Make a Difference 
  1. Tailored Education that Resonates
  1. Tackling Social Determinants Head-On
  • Programs providing non-emergency medical transportation have reduced missed appointments by up to 27% among minority Medicaid members with chronic conditions. 
  • Food prescription services and food bank partnerships are improving diabetes control. 
  • Housing support can lower asthma-related emergencies among pediatric Medicaid members. 
  1. Tech That Connects, Not Confuses
  1. Stronger Community-Clinical Partnerships
  • Collaborative networks bring together healthcare providers, social services, and local organizations. 
  • Community pharmacists increase adherence among Black Medicaid members with multiple chronic conditions. 
  • Peer support groups empower better self-management behavior among Hispanic members with diabetes. 
MedScope’s Comprehensive System for Closing Gaps in Medicaid Care 

At MedScope, we believe effective care starts in the community. Our approach combines cultural awareness, personalized outreach, and easy-to-use technology to help Medicaid members take control of their health. We have developed a complete system to help Medicaid case managers reach difficult-to-engage populations and close critical care gaps through a blend of emergency response technology, remote monitoring, and culturally tailored communication. 

Emergency Response System (ERS) with Built-In Engagement 

  • Two-way communication connects case managers directly with members for wellness checks, screenings, and follow-ups. 
  • AI assistance delivers personalized reminders, health tips, and culturally relevant education. 
  • Live wellness team support adds a human touch when needed. 

Omni-Channel Outreach for Maximum Reach 

  • Phone, direct mail, email, and in-device messaging—we meet members where they are. 
  • Engagement strategies are customized by preference, language, and cultural nuances. 

Integrated Remote Patient Monitoring 

  • Condition-specific tools track diabetes, hypertension, COPD, CHF, and more. 
  • Early alerts notify care teams before problems escalate. 
  • Interfaces are designed for simplicity and accessibility, regardless of age or tech comfort. 

Built for Case Managers. Designed for Equity. 

Every part of MedScope’s platform is created to help case managers: 

  • Reach previously disengaged members. 
  • Close care gaps with timely interventions. 
  • Support chronic condition management with personalized education and reminders. 
  • Identify and address issues before they lead to crises. 

We’re committed to helping Medicaid programs deliver care that’s not only equitable, but effective—for every member, in every community. 

The Path Forward 

National Minority Health reminds us that health equity requires action. For Medicaid case managers, that means implementing strategies that address the unique challenges minority communities face in managing chronic disease. 

By combining culturally tailored outreach, strong partnerships, and smart technology, we can make meaningful strides toward better outcomes. 

MedScope remains committed to supporting Medicaid case managers with the tools, insights, and partnerships needed to deliver equitable, effective chronic disease management for diverse communities. Our comprehensive system that combines ERS technology, omni-channel outreach, remote monitoring, and analytics provides the infrastructure needed to reach even the most difficult-to-engage Medicaid members and ensure they receive the care they need to manage chronic conditions effectively.  

Learn more about MedScope’s Medicaid solutions at medscope.org.