TitleWeb
In-home assessments of high-risk members
Professional; Facility
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AmeriHealth has partnered with Inovalon, Inc. to conduct face-to-face
assessments of high-risk Medicare Advantage HMO members. This outreach
initiative began in 2012 and will continue throughout 2013. The purpose of
these assessments is to gather member-specific documentation and provide the
member?s primary care physician (PCP) with accurate health information to help
support ongoing patient care.
Members are contacted by telephone or letter to schedule an appointment.
Assessments are completed by a nurse practitioner from Inovalon in the member?s
residence, whether in their own home or the skilled nursing facility in which
the member resides. During the assessment, the nurse practitioner uses
ePASS[]?[], a decision-support tool that is prepopulated with the
member?s medical history. It also addresses specific questions targeting gaps
in documentation, assessment, and quality improvement. Each assessment is
completed electronically and then shared with the member?s PCP as well as
AmeriHealth.
If you or your AmeriHealth patients have any questions about these assessments,
please call Customer Service at []1-800-275-2583[].