Changing member/patient behavior is a persistent challenge. PCPs advise their patients with diabetes to obtain the important annual examinations, but all too frequently this advice is ignored. Reasons often cited by members/patients include not wanting to have to be driven to an eye appointment due to dilation being required, lost time from work, potential for additional copays/co-insurance/deductibles; all coupled with the fact that from the member/patient's perspective, "there is nothing wrong with my eyes". This fact is borne out across the country by lower than desirable HEDIS and Star scores for physicians, ACOs, and health plans struggling with gaps in care.
HealPros will implement a multi-faceted set of tested methods in order to insure that your non-compliant members receive these important examinations. We dispatch our technologists directly to the member's home, to your health fairs, PCP offices, as well as other venues like YMCAs, churches, long-term care facilities, skilled nursing facilities, and FQHCs.
Each HealPros implementation is customized in order to fit the unique requirements faced by your plan.
The HealPros team schedules the member appointment in the home, at a PCP office, or alternative sites including YMCAs, churches, synagogues, LTC/skilled nursing facilities, or other payer approved locations.
Members are educated and exam authorization forms are completed.
Members receive their exam by a certified HealPros technologist.
Exam information is transmitted to our team of physicians for review and interpretation through the HealPros iComply HIPAA secure portal.
Member/PCP/health plan/specialist receives exam results and information.
Results are made available to patient, Health Plan, and PCP via mail, fax, and/or over a secure internet login. All data transmission is encrypted and HIPAA compliant.
Reporting and analytics are delivered to the health plan and other authorized recipients
Today, medical practices are faced with countless threats caused by reimbursement cuts, increased costs, and new compliance requirements, as well as increased competition from walk-in clinics and large retail healthcare locations that breach the patient care domain once dominated by physicians.
HealPros enables physicians to improve patient compliance without the burden and cost of complex solutions.
HealPros does not expect to change member/patient behavior. We understand the behavioral impediments to raising HEDIS and Star scores, and we overcome them by taking responsibility to reach your members in creative ways to provide this important preventative diagnostic care. No single approach is as effective. We have learned from experience that it takes a toolbox of solutions to raise HEDIS and Star scores to the Five Star level, and to keep them there!