5 Ways to Boost Star Ratings

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osteoporosis screenings JOURNEY TO THE STARS Follow the stars to discover 5 ways MedXM can help improve your Star ratings. DIABETIC RETINOPATHY EXAM (DRE) POST HOSPITAL DISCHARGE VISITS $17.9 BILLION $11,200 PER YEAR Cost of Osteoporosis in direct medical treatment costs. Perform non-invasive ultrasounds on: 1 1 3 2 CMS WEIGHT MedXM home or retail-based Bone Mineral Density testing has moved health plans up by 1 or more Stars in 1 year. BLOOD PRESSURE (BP) CONTROL Diabetic retinopathy is the most common diabetic eye disease and a leading cause of blindness in American adults. 3 Options for Performing the DRE: 1 Technician & Retinal Camera 3 Optometrist & Comprehensive Eye Exam 2 Nurse Practitioner & Retinal Camera during an HRA 1 CMS WEIGHT MedXM home or retail-based DRE can move a health plan up to 2 Stars in one year. Average cost of a readmission for any given cause with a 21.2% readmission rate. 29% Identify key risk factors that could lead to re-hospitalization. Ensure patient understanding of sending physcian post-hospital regimen. Medication Reconciliation & Counseling Follow up for continuity of care. 3 CMS WEIGHT MedXM Post Hospital Discharge Visits have been known to reduce re-hospitalizations by: $46 BILLION PER YEAR IN EXCESS MEDICAL COSTS IN LOST PRODUCTIVITY Cost of high blood pressure health care services, medications, and missed days of work. CONTROL OF BLOOD PRESSURE TAKES SEVERAL VISITS 3 CMS WEIGHT MedXM clinicians can help raise health plans’ Star scores up to 2 stars on this heavily weighted measure. Offer Blood Pressure Screenings to: 1 HGBA1C CONTROL Diabetes is one of the most common and costly of all chronic diseases. $153 B I L L I O N B I L L I O N $65 IDENTIFY 2 MONITOR 3 TREAT Provide members with Hemoglobin A1C tests to: IDENTIFY 1 MONITOR 2 TREAT 3 3 CMS WEIGHT MedXM can increase a plan’s star ratings by 1 or more stars with this high scoring measure. 65+ RECENT FRACTURE WITH 123 4 6 5 7 8 REFERENCES 1 US Dept of Health and Human Services, Public Health Service, Office of the Surgeon General. Rockville, MD: Washington, D.C.: United States: Public Health Service. Office of the Surgeon General; 2004. Bone health and osteoporosis [electronic resource]: A report of the Surgeon General 2 Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A J Bone Miner Res. 2007 Mar; 22(3):465-75. 3 Fracture Reduction Affects Medicare Economics (FRAME): impact of increased osteoporosis diagnosis and treatment. King AB, Saag KG, Burge RT, Pisu M, Goel N Osteoporos Int. 2005 Dec; 16(12):1545-57. 4 "Facts About Diabetic Eye Disease." Facts About Diabetic Eye Disease. Web. 27 Aug. 2015. <https://nei.nih.gov/health/diabetic/retinopathy>. 5 Healthcare Cost and Utilization Project (HCUP). April 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/data/hcup/index.html 6 Bernstein, Richard MD. MA Plan Alameda Alliance Reduces Using MedXM Post Hospital Discharge Visits Hospital Readmissions by 29% MedXM. 7 Mozzafarian D, Benjamin EJ, Go AS, et al. Heart Disease and Stroke Statistics-2015 Update: a report from the American Heart Association.Circulation. 2015;e29-322. 8 Dall TM, Zhang Y, Chen YJ, et al. The economic burden of diabetes. Health Aff (Millwood). 2010;29:297-303. 1241 E. Dyer Road, Suite 145, Santa Ana, CA 92705 • (866) 421-5535 • MedXM1.com 5 4

Transcript of 5 Ways to Boost Star Ratings

osteoporosis screenings

JOURNEY TO THE STARSFollow the stars to discover 5 ways MedXM can help improve your Star ratings.

DIABETIC RETINOPATHY EXAM (DRE)

POST HOSPITAL DISCHARGE VISITS

$17.9 BILLION

$11,200

PER YEARCost of Osteoporosis in direct

medical treatment costs.

Perform non-invasive ultrasounds on:

1

1

3

2

CMSWEIGHT

MedXM home or retail-based Bone Mineral Density testing

has moved health plans up by 1 or more Stars in 1 year.

BLOOD PRESSURE (BP) CONTROL

Diabetic retinopathy is the most common diabetic eye disease and a

leading cause of blindness in American adults.

3 Options for Performing the DRE:

1 Technician & Retinal Camera

3Optometrist & Comprehensive Eye Exam

2Nurse Practitioner & Retinal Camera during an HRA

1CMSWEIGHT

MedXM home or retail-based DRE can move a health plan up to 2

Stars in one year.

Average cost of a readmission for any given cause with a

21.2% readmission rate.

29%

Identify key risk factors that could lead to re-hospitalization.

Ensure patient understanding of sending physcian post-hospital regimen.

Medication Reconciliation & Counseling

Follow up for continuity of care.

3CMSWEIGHT

MedXM Post Hospital Discharge Visits have been known to reduce re-hospitalizations by:

$46 BILLION

PER YEAR

IN EXCESSMEDICAL COSTS

IN LOST PRODUCTIVITY

Cost of high blood pressure health care services, medications, and missed

days of work.

CONTROL OF BLOOD PRESSURE

TAKES SEVERAL VISITS

3CMSWEIGHT

MedXM clinicians can help raise health plans’ Star scores up to 2 stars on this

heavily weighted measure.

O�er Blood Pressure Screenings to:

1

HGBA1C CONTROL

Diabetes is one of the most common and costly of all chronic diseases.

$153

BILLI O N BILLI O N

$65

IDENTIFY

2MONITOR

3 TREAT

Provide members with Hemoglobin A1C tests to:

IDENTIFY

1MONITOR

2TREAT

3

3CMSWEIGHT

MedXM can increase a plan’s star ratings by 1 or more stars with this high

scoring measure.

65+

REC

ENT

FRA

CT

UR

E

WITH

123

4

6

5

7

8

REFERENCES

1 US Dept of Health and Human Services, Public Health Service, O�ce of the Surgeon General. Rockville, MD: Washington, D.C.: United States: Public Health Service. O�ce of the Surgeon General; 2004. Bone health and osteoporosis [electronic resource]: A report of the Surgeon General2 Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A J Bone Miner Res. 2007 Mar; 22(3):465-75.3 Fracture Reduction A�ects Medicare Economics (FRAME): impact of increased osteoporosis diagnosis and treatment. King AB, Saag KG, Burge RT, Pisu M, Goel N Osteoporos Int. 2005 Dec; 16(12):1545-57.4 "Facts About Diabetic Eye Disease." Facts About Diabetic Eye Disease. Web. 27 Aug. 2015. <https://nei.nih.gov/health/diabetic/retinopathy>.5 Healthcare Cost and Utilization Project (HCUP). April 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/data/hcup/index.html6 Bernstein, Richard MD. MA Plan Alameda Alliance Reduces Using MedXM Post Hospital Discharge Visits Hospital Readmissions by 29% MedXM. 7 Mozzafarian D, Benjamin EJ, Go AS, et al. Heart Disease and Stroke Statistics-2015 Update: a report from the American Heart Association.Circulation. 2015;e29-322.8 Dall TM, Zhang Y, Chen YJ, et al. The economic burden of diabetes. Health A� (Millwood). 2010;29:297-303.

1241 E. Dyer Road, Suite 145, Santa Ana, CA 92705 • (866) 421-5535 • MedXM1.com

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