Quality Score Improvement Guide

October 1, 2015

How do the best plans achieve their Stars and Risk Adjustment interventions?

MedXM has a two phase strategy to help you gain potential revenue and improve your Stars and Risk Scores.

PHASE 1

Three factors point to members who are high risk and need earlier engagement.

MedXM identifies members  who were either:

  • Not seen at all last year
  • Did not get a scheduled health risk assessment
  • Had large numbers of quality gaps last year

PHASE 2

MedXM identifies members who, despite having PCP visits this year: 

  • Still have gaps in care after July
  • Need re-documented diagnoses

Work with MedXM to boost revenue and achieve your best quality and risk performance yet.

View our Quality Improvement Guide to inspire your plan's goals.

 

 

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