TitleWeb
In-home assessments of high-risk members
Professional; Facility
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IBC has partnered with Inovalon, Inc., an independent company, to conduct
face-to-face assessments of high-risk Medicare Advantage HMO and PPO 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 IBC.
If you or your IBC patients have any questions about these assessments, please
call Customer Service at []1-800-ASK-BLUE[].