Medicare Advantage Tools and Resources

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Targeted and proactive Quality Improvement interventions focused on your Medicare Advantage patients is key to achieving mutual goals related to the Triple Aim by impacting quality, impacting cost of care and driving patient satisfaction. Early documentation of your patient’s burden of illness is important as well, establishing care plans with a focus on closing gaps in care and preventing hospital readmissions.  
In your value-based arrangement with Anthem, we can support you in the following ways:  

Assistance with identifying your patients who are in need of the most comprehensive care

Opportunity to increase revenue while impacting quality of care

Potential attributed member growth; higher STAR ratings can make it possible for to improve products and benefit packages

Assistance with Transitional Care strategies to keep your patients from being readmitted to the hospital or Skilled Nursing Facilities

 
Readmissions are one of the drivers of high health care costs in the United States, and many are avoidable. This toolkit offers valuable tools and resources to support Care Transitions and reduce the risk of readmission for Medicare and non-Medicare patients. All tools are customizable to meet the needs of your practice.  
The Annual Planned Visit toolkit is a resource for organizations to successfully establish a process for conducting annual routine physical exams for your Medicare Advantage patients. It includes reference tools, examples of scripts and letters for patient outreach as well as resources for medication management. 
The Diagnosis Coding and Documentation Resources are intended to give providers tools and information to improve ICD-10 proficiency and effectiveness on conditions that are prevalent in the Medicare Advantage population. By using the tools, providers can identify and address opportunities for diagnosis coding and documentation improvement on most common conditions encountered with their Medicare patients. 
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