Last-Minute Gaps in Care Strategies
Senior healthcare leaders from AmeriHealth Caritas, AvMed, HealthTeam Advantage, and ReferWell share strategies health plans can use to understand gaps in care throughout the member journey.
For health plans participating in risk-based agreements, gaps in care have severe implications for members’ health outcomes and their ability to attain higher quality scores necessary to receive financial bonuses and drive member enrollment.
Hear how plans leverage data and real-time analytics to effectively and efficiently close time-sensitive care gaps to improve HEDIS, Stars and other quality scores.
Topics covered include:
Provider Plan Partnerships
Building a Relationship with Members
Identification & Targeting
Systems & Incentives
Marsha Barlocker, RN, BSN, MS, Senior Director, Quality & Case Management, HealthTeam Advantage
Chad Baugh, Chief Strategy Officer, ReferWell
Vandna Bhrany, Vice President, HEDIS Strategy & Analytics, AmeriHealth Caritas
Frank Izquierdo, Senior Vice President Provider Solutions and Strategic Alliances,
This episode is sponsored by ReferWell
Health plans must be acutely aware of their progress towards achieving their Care Gap Closure targets. Their most significant obstacle is to directly impact those specific areas, even though they have limited capabilities to do so.
ReferWell helps health plans improve access to care by efficiently scheduling members for the care they need.
ReferWell care navigators find the “Perfect Match” provider right at the referable moment when the member is saying yes to their care). They then seamlessly schedule the member’s appointment while still on the call. It’s a proven process that provides better access, experience and outcomes for members and better quality performance, which affects the health plan’s bottom line.