Category Archives: Medicare/Medicaid

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...

In April 2016 CMS published a final rule requiring that all states implement a quality rating system for Medicaid managed care plans over a period of three years. The goal is to increase transparency in Medicaid and CHIP, allow States to compare plan performance, and empower consumers to consider health plan quality when selecting a...

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...

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,...