Health Assessment | White-label Digital Health Solutions

Category Archives: Health Assessment

Using HRA Insights to Improve Care for High-Need Populations

6
May
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Health Risk Assessments (HRAs) are a foundational element of care management for Medicare Advantage plans, particularly Dual Eligible Special Needs Plans (D-SNPs). However, an HRA is only as valuable as what you do with it. HRA completion is just the beginning for plans serving the nation’s most medically and socially complex members —...

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A Game Changer for Dual-Eligible Plans: CMS’s Proposed HRA Integration Rule

7
Mar
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Dual-Eligible Plans: CMS's Proposed HRA Integration Rule
Navigating the healthcare landscape is becoming increasingly complex, especially for individuals eligible for both Medicare and Medicaid. As policymakers seek ways to streamline processes and improve care coordination, a new proposed rule could be a game changer for dual-eligible plans. This proposal aims to simplify health risk assessments (HRAs), reducing administrative burdens while enhancing the...
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PDHI’s HRA Data Collection Aligns with New HEDIS Standards

31
Oct
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Happy man looking down at cell phone

Introduction

Comprehensive healthcare is not limited to clinical interventions but is also influenced by various factors beyond the hospital or doctor's office. The Healthcare Effectiveness Data and Information Set (HEDIS) is used to standardize quality performance measures for health plans and other healthcare and government organizations to address health determinants, reduce disparities,...

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Unlocking the Potential of Health Assessments to Advance Health Equity and Reduce Disparities in Healthcare

18
Jan
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Health Equity concept, illustration of Race, Ethnicity, and Language
To further advance health equity and improve health outcomes for the more than 170 million individuals supported by the Center for Medicare and Medicaid Services (CMS) programs, CMS has published the CMS Framework for Health Equity 2022-2032. The framework sets priorities to identify and eliminate barriers to benefits and services based on race/ethnicity, language, gender...
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Maximizing Health Risk Assessment Completion Rates

20
Dec
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Illustration of a
Stratifying members by health risk is essential for health plans to drive effective clinical interventions. Health risk assessments (HRA) are an important tool for collecting health risks and identifying barriers to care, particularly where claims data is limited. And for Medicare and Medicaid health plans, health risk assessment completion is required to meet program...
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Insights Break Down Barriers in Health Equity: Using Health Assessments to Identify Social Determinants of Health

21
Jul
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Social Determinants of Health Diagram
The US Department of Health and Human Services defines social determinants of health (SDOH) as, “the conditions in the environment in which people live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes.” SDOH can be grouped into five categories:
  • Economic stability
  • Education access...
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Health Assessments Can Deliver Leading Data for Population Health Management

4
Apr
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Illustration of a group of people looking at a patient's record on an ipad
For health plans, managing disparate data is complex, costly, and resource-intensive. Plans consolidate their members’ health data from multiple sources: medical claims, PBM/RX, care management, family history, business intelligence (BI) and analytics outputs, labs, health coaching, disease category, and eligibility. Having reliable data readily available is a paramount concern for health plans. It is used to...
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Meeting State Medicaid Health Risk Assessment Requirements

16
Jul
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Diagram of different modalities
Many Medicaid departments have issued state-specific standardized health risk assessments and require contracted MCO plans to assess newly enrolled members within 90 days of enrollment and in some cases annually thereafter. In addition to the burden of data collection, state Medicaid departments also require that assessment results are submitted on a periodic basis using defined file...
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Sustainable Behavior Change

27
Mar
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Behavior Change
Behavior change is difficult. Whether it is exercising more, eating healthier, or better managing blood pressure, attempts to change health-related behaviors often fail. But some individuals do successfully change a behavior and stick with it for the long term. Extensive research has identified the factors that contribute to sustainable health behavior change, and these best...
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