3 Ways Health Risk Assessments Lead to Better Care Management

November 2, 2016

The formal idea of conducting health risk assessments originated in the 1940's by Dr. Lewis C. Robbins. This idea has been perfected and expanded over the years, as a result of how useful the information gathered is for: health plans, medical professionals, employers, and the patients themselves. For health plans, HRAs are a vital front-line tool to serve their members better. Here are 3 ways HRAs lead to better care management:

  • Preventive Care/ Behavior Modification

  • Predicting Health Care Expenses

  • Improved Membership Engagement

Preventive Care/ Behavior Modification

HRAs give medical professionals the information needed to assess any developing health issues. This information is valuable in preventing more serious health issues; HRAs alert health plans of high risk members, so preventative care and behavior modification can be implemented. When members are healthier and serious health problems are avoided more often, then care management is simplified and improved.

Members can take HRAs online, which makes it easier for them and their health plans. They can also take them on paper through mail, during visits, in a retail clinic, in the home or over the phone. Making HRAs easy to access and take, ensures health plans get the targeted information they need for optimal care management.

After PCPs or health care professionals explain to members the health risks they face (from the HRAs and any subsequent screenings), members will be more likely to modify their behaviors for better health. Also, members and health plans will have the information needed to understand other health influencing factors, such as: availability of food, living conditions, and accessibility to health care. HRAs are a foundational tool used for quality care management, providing PCPs, SNFs, and health care professionals the information needed to proceed with optimal care management solutions.

Predicting Health Care Expenses

Health plans are trying to run a profitable business, as well as provide excellent care for their members. HRAs give them a great tool to help predict and estimate the health care expenses they're facing in the future. In addition to HRAs preventing more serious health problems through early detection and behavior modification, they also give health plans business intelligence to more accurately predict expenses.

When health plans can predict health expenses more accurately, they're able to focus on developing more efficiency in other areas of their business. This may mean optimizing the back-office, incentive programs, marketing, and/or services; the end result is optimized care management in all areas. HRAs have historically been used to predict health care expenses, and have been improved over the years for more accuracy.

Improved Membership Engagement

HRAs are an integral tool in the process of membership engagement; enhanced engagement leads to satisfied and healthy members, thus, higher health star ratings for plans. Reaching out to members initially, annually, or after a hospital visit – can be done efficiently with HRAs. The targeted information gathered can then be shared between their PCPs, SNFs, and health plans – fulfilling a circle of care, where everyone involved is well-informed on members' health risks and influencing factors.

HRAs should be convenient and easy;  give members the most suitable option for their situation and preference for optimal acceptance rates. MedXM makes visits easy, giving members the option of meeting with health care professionals in-home, at a close-by retail clinic, or at a SNF. By making HRAs and visits from health care professionals easy and convenient, health plans are ensuring optimal membership engagement. There's more than one way to get members to take HRAs, and with MedXM: HRAs go hand in hand with membership engagement.

Summary

HRAs, formally, began to become an important tool for the U.S. medical establishment in the 1940s.

However, asking medical patients targeted questions about their health, in order to optimize care management, has likely been around much longer. Often times, it's the small details that make the positive difference for health plans and their members, HRAs are a prime example.

HRAs give health plans, PCPs, and SNFs – the vital information needed to assess their members' health risks and other health influencing factors. With a clarified understanding of their members' situations and health, targeted screenings and preventive care can be facilitated. This understanding also helps predict expenses for optimized business profitability, and engages members for optimal membership satisfaction.

MedXM understands the important foundational role HRAs play in care management, and with our: expanded network of healthcare professionals across the country, innovative online technology, and expertise in membership engagement – health care plans can optimally use them to their advantage. If interested in learning more, please contact us today.

 

 

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