Prospective Health Assessments

Advantmed’s Prospective Health Assessments provide actionable 360-degree insights into the health status of an organization’s member population. Prospective Health Assessments focus on addressing new conditions, re-capturing and documenting previously unrecorded chronic conditions to close quality care gaps and drive risk adjustment improvements. Prospective Health Assessments can occur at any time during the year and are available for Medicare Advantage, Commercial and Medicaid members that would benefit from a comprehensive evaluation.

Members have the flexibility of having the assessment conducted by Advantmed’s highly-trained nurse practitioners in their home, in a centralized Advantmed clinic or in a primary care physician’s office.



1. An average revenue increase from $620 to over $1,500 per assessment
2. Patient acceptance rate for in-home visits of greater than 35 percent
3. 100 percent electronic (tablet-based) assessments
4. 100 percent quality audits of all assessments



Prospective Health Assessments capture significant measures for quality improvement.

     Star Measures     

     HEDIS® Measures     



Advantmed’s process involves a comprehensive assessment that focuses on member engagement, member profiles, results communication and reporting to gather the most accurate data.

The ELEVATE! platform offers real-time reporting and visibility into call metrics, detailed call comments, status on non-cooperating members and reason codes. All clinical data and HCCs are hyperlinked within the assessment.


HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).