Providing health screening services to your members demonstrate a genuine concern for their personal health. Offering health screenings, either in the home or in local retail clinics, not only covers your quality improvement initiatives, it also produces increased member engagement and satisfaction. Here are five health screening services your plan and your members will appreciate.
Health Risk Assessments
Health risk assessments provide advantages for health plan administration in the form of aggregated data reports to health plans and the employers who sponsor such plans. The reports spin out information on the demographic landscape of your plan's covered participants. They point out high risk areas in your covered population. In practical application, the health risk assessment aggregate statistics help determine cost projections and potential areas for savings.
On the other side of the coin, health risk assessments provide advantages for the individual plan participant in several ways. The assessment may identify health factors before they become severe. The plan may use the assessment to encourage plan participants with certain risk factors to stop smoking, step up exercise regimes, lose weight, increase cardiopulmonary activity in order to prevent diseases that the health risk assessment identifies as potential problems before they become insurmountable. The participant generally receives a score based on several areas, such as stress, nutrition, and fitness.
Diabetic Retinopathy Exams
Diabetes can cause loss of vision, changes to the retina, and increase the risk of glaucoma. However, the loss of vision among those with diabetes is often preventable. When you offer your members a Diabetic Retinopathy Exam (DRE), the special lens system shines a small beam of light into the eye to view and photograph the retina. From these results, plans can decipher who is most at risk for Diabetic Retinopathy.
To raise DRE star ratings, it is not enough to rely on PCP referrals, plan reminder letters or calls from case managers. Health plans need to get in the home and engage their members to portray and explain the value of having this type of exam completed. Offering Diabetic Retinopathy Examinations helps prevent blindness, one of the most significant and serious complications of diabetes.
Approximately 10 million Americans have osteoporosis and another 44 million have low bow density, placing them at increased risk. Most people do not know they have the disease until they break a bone. Checking bone density for osteoporosis risk lends itself to an at-home test as well. Following a recent fall or fracture, women age 65 and over who are particularly prone to this disease, should have their bone mass measured. A bone mineral density scan checks the bone density in the heel and from there develops a T score. If the T score indicates potential osteoporosis, then the plan should encourage the member to visit his or her general practitioner for a more in-depth examination and proper treatment.
Providing osteoporosis screenings to health plan members has been proven to improve star ratings on this measure by 150%. If you’re looking for an easy solution to improve your members health and enhance your star ratings, offering BMD screenings in the home is an obvious solution.
There are various screenings available to help detect and prevent diabetes for your members. The earlier diabetes is diagnosed, the better chance there is to reduce diabetes complications and improve the quality of life for those individuals. Administer the following diabetes screenings to build a quality improvement program that ensures members receive the highest quality of care and services:
A1C - A blood test that checks the average amount of sugar the body has been exposed to over the past 3 to 4 months.
Peripheral Arterial Disease Test - A simple test to show how well blood is flowing to the limbs. It shows the future risk for complications in circulation, like stroke, heart attack and amputation.
Microfilament Test - A foot exam to detect a loss of sensation in various parts of the feet using a very thin metal filament.
Microalbumin - A urine test to detect kidney damage.
Blood Pressure Screening
Practitioners often call high blood pressure the "silent killer" because it often has no outward symptoms. Unchecked, however, high blood pressure can lead to fatal heart attacks and strokes. People with high blood pressure often have one or more other health conditions, like diabetes, that further complicates their health prognosis. Blood pressure screenings are another tool in the health plan tool chest that can help plan participants lead healthier and happier lives. When a member is in their home comfortably, providers can gather blood pressure measurements when the member is most relaxed to provide an accurate reading.
To talk more about offering health screenings to your members in their homes or at our retail clinics, please contact us. We look forward to helping your members stay healthy.