Health Assessment Solutions by Advantmed: Boost Your Plan's Effectiveness

Health Assessments

A complete picture of member health.

Improve engagement by

20% - 30%

Complete visibility into your members’ health.

Gaps in care have a direct impact on your clinical quality and financial performance. Advantmed’s personalized and professional Health Assessments for Medicare, Medicare Advantage, and ACA/Commercial populations engage your members in their own wellbeing while empowering you to achieve better outcomes.

“Advantmed exceeded our expectations for both member connect and completion rates for health assessments. We had seen lower engagement with other vendors, but now we’re experiencing a 31% completion rate. We’re closing more care gaps and seeing a higher quality of care since our partnership.”

– Health Plan

Optimize your clinical and financial performance through Health Assessments.

Target Your Care

Capture extensive health information that might otherwise be missed, including potential urgent issues in the home, to make sure your members receive the care they need, and access the resources necessary to keep them healthy.

Identify Conditions & Close Gaps

Through personal conversations led by clinicians, we help you identify new conditions, recapture existing conditions, close care gaps, address barriers to care, and connect members with appropriate resources.

Reach the Right Members

Using advanced predictive models, we’re able to identify ideal candidates for Health Assessments from your membership, including those with suspected conditions, limited documentation, and gaps in care.

Capture Appropriate Compensation

Leverage the data you capture from Health Assessments to optimize Risk Adjustment Factor (RAF) scores and secure appropriate compensation for correctly identified chronic conditions.

Increase Engagement

We send post-visit letters to PCPs as well as members — identifying diagnoses, recommendations, gaps in care, follow-up action items, and referrals that enable providers to optimize care plans and members to better manage their own health.

Engage Providers, Too

We work in concert with providers to ensure the success of Health Assessments, designing programs that fit their needs for seamless assessment delivery.

Improve Care Coordination

On top of our over-read, we perform an additional 20% Inter-Rater Reliability (IRR) audit on both positive and negative outcomes, as well as 100% of exclusions. The result is market-leading accuracy any auditor will approve.

See Results in Real Time

Our Elevate^ platform provides real-time visibility into the status of every assessment, including number of calls, completions, and call notes.

Personalized Assessments
Our Health Assessments come with the whole package.
Personalized Assessments
Health Assessments include personalized, professional, and compassionate one-on-one conversations with a credentialed clinician. Our goal is to make sure your members feel confident, comfortable, and respected.
Expert
Clinical Team
Our Health Assessments come with the whole package.
Expert Clinical Team
Our team of physicians oversee all Health Assessments to ensure the integrity of the content, credentialing, and output. Assessments are completed by our network of credentialed clinicians who are specially trained to engage with Medicare and commercial populations.
Member Education
Our Health Assessments come with the whole package.
Member Education
As part of excellent member engagement, our trained customer service team reaches out to members before and after their assessments to answer questions, explain the process, schedule visits, confirm appointments, and follow up.
Telehealth
Options
Our Health Assessments come with the whole package.
Telehealth Options
Our user-friendly, convenient telehealth solution captures reliable information on health status and care gaps, all vetted and validated by our clinical team.
Quality Assurance
Our Health Assessments come with the whole package.
Quality Assurance
100% of our assessments are thoroughly audited for completeness and quality, ensuring that MEAT/TAMPER criteria are met, signatures are validated, and conflicting diagnoses are flagged. Our in-house team of coders use a two-stage, 100% over-read process to ensure accuracy.
Client
Portal
Our Health Assessments come with the whole package.
Client Portal
Use our intuitive client portal to view status, call notes, unscheduled members, reports and more — all online, and all in real time.
Improve Engagement
Our Health Assessments come with the whole package.
Improve Engagement
Improve Engagement
Our member-facing website, MyHealthAssessment.com, answers frequently-asked questions to help members feel comfortable about their in-home visit.
Integrated Quality Measures
Our Health Assessments come with the whole package.
Integrated Quality Measures
Our Health Assessment integrate with HEDIS® admin measures, HEDIS hybrid measures, CAHPS/HOS, and additional CMS Star measures.