Medicare/Medicaid | Wellness Platform

Category Archives: Medicare/Medicaid

Meeting State Medicaid Health Risk Assessment Requirements

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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Using a Health Risk Assessment to Improve Your Medicaid Quality Measures

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...
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Health Risk Assessment for Medicare Annual Wellness Visit

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

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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Medicare Chronic Care Management Reimbursement

Starting in January 2015, Medicare will pay a monthly chronic care management (CCM) fee of $40.39 for providing care management services to seniors with two or more chronic conditions. These care management services may be delivered by physicians or other healthcare providers, such as clinical nurse specialists, and may include non-face-to-face services. The target population is...
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