Health Assessment | pdhi.com

Category Archives: Health Assessment

PDHI’s HRA Data Collection Aligns with New HEDIS Standards

31
Oct
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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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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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Health Risk Assessment for Medicare Annual Wellness Visit

2
Mar
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Female nurse helping an elderly man fill out a health assessment
The Centers for Medicare and Medicaid Services (CMS) requires a health risk assessment to be included in the Annual Wellness Visit. The purpose of the Medicare health assessment is to identify heath needs and risk factors so beneficiaries can be directed to appropriate care, ultimately improving outcomes and reducing costs. The Center for Disease Control and...
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Health Risk Assessment for Medicaid

3
Feb
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Man completing a health risk assessment on a laptop.
Starting July 1, 2017 Medicaid and Children’s Health Insurance Program (CHIP) plans are required to make their best effort to conduct a health risk assessment within 90 days of enrollment for all new enrollees. Many health plan clients already use ConXus Profile Health Assessment for Medicaid in both adult and pediatric populations. We deliver secure,...
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