Improve Quality
Impact HEDIS, STAR, and more
Bonus payments…Performance standards…Accreditation…Value based purchasing…Health plans havemany reasons to focus on maintaining and improving their quality measures. MyHealthDIRECT is the innovative solution that enables plans to impact their HEDIS and STAR ratings in order to keep pace in the current health care environment.
Familiar strategies of member education, reminder mailers, and health fairs are no longer enough by themselves. Increasingly health plans are taking initiative to establish direct linkages with providers. Your care coordinators and member services staff are noting gaps in care while having regular contact with members. Use those opportunities to your advantage through MyHealthDIRECT.
Experience using MyHealthDIRECT demonstrates a 44% improvement in completion of key services that drive quality scores.
Through inbound or outbound telephonic outreach:
- Use MyHealthDIRECT to schedule appointments on behalf of members for preventative services and screenings, such as immunizations, cancer screenings, and EPSDT appointments.
- Improve your care coordination efforts for members with chronic conditions by ensuring they obtain their appointments for key services, such as HgA1c tests for members with diabetes.
- Obtain timely OB appointments for members’ prenatal and postpartum care. A single NICU admission can cost hundreds of thousands of dollars.
Most measures that comprise HEDIS and Star are simply based upon whether a member actually obtains a service. Experience using MyHealthDIRECT demonstrates a 44% improvement in completion of key services that drive quality scores:
