Paramount Selects PDHI’s NCQA-Certified Health Appraisal for Medicare Elite and Medicaid Advantage Plans
Bernardsville, NJ, January 12, 2015. PDHI, a leader in population health management solutions, and Paramount Health Care, an Ohio-based health insurance company, announced today that PDHI’s health appraisal will be delivered to Paramount’s Medicare Elite and Medicaid Advantage members. PDHI’s NCQA WHP-5 certified health appraisal will be used to identify health and lifestyle risks, stratifying members into care management services.
“Our mission is to improve the health and well-being of our members,” said John Meier, MD, vice president and medical director at Paramount. “A targeted health appraisal provides the foundation for our health management approach, helping us to deliver the right services to every member.”
To support this initiative, PDHI’s adult health appraisal has been extended to include questions for seniors and for low-income groups. PDHI’s pediatric health appraisal has also been extended to support questions for low-income populations, providing a comprehensive suite of health appraisal tools for all age groups and plan types. Configuration options allow clients to add or remove questions to tailor each questionnaire to meet their needs.
Branching logic is used in the online version of the questionnaire to deliver a personalized user experience. Support is provided for facilitated delivery using a health navigator, and the questionnaire is also available as a scannable bubble form for paper-and-pencil completion. Both online and paper questionnaires and the comprehensive member report are available in English or Spanish.
“PDHI has delivered technology solutions to Paramount’s commercial populations and workplace wellness programs since 2006,” said Jennifer Jolley, president at PDHI. “We are proud to extend our relationship through this collaboration to support their Medicare and Medicaid members.”
Since July 2014, Medicaid, Medicare, and Exchange plans seeking accreditation from NCQA — the National Committee for Quality Assurance — have been reviewed and scored on Member Connection (MEM) standards, which include a health appraisal and self-management tools. As of September 2013, 41 states, including 29 Medicaid programs, recognize or require NCQA Accreditation.
PDHI’s ConXus Platform includes WHP-7 certified self-management tools, individual and team challenges, a coach documentation system, and extensive tools for managing biometric data and health incentives.
PDHI is a technology services organization that develops and distributes the ConXus Platform for delivering workplace wellness and population health management programs. ConXus solutions are scalable and flexible, driving process efficiency and project control for clients. PDHI’s open-systems approach features extensive administrative tools and user interfaces for client portal environments. PDHI clients include wellness providers, accountable-care organizations, large employers, third-party administrators, hospital systems, and health plans.
Paramount Health Care offers insurance to both large and small groups, to Medicare (Paramount Elite) subscribers in northwest Ohio and southeast Michigan, and to Medicaid (Paramount Advantage) subscribers living in the state of Ohio. Paramount maintains accreditation by the NCQA – the National Committee for Quality Assurance – for Ohio HMO, Elite, and Advantage products. Paramount is part of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest.