New Quality Care Guides

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New Quality Care Guides

07/17/2023

EmblemHealth and ConnectiCare have an unwavering commitment to ensuring our members receive quality care. As part of that commitment, we work with our network providers to improve their capabilities around meeting state and federal quality measures. We also provide resources, both online and in the community, that providers can use to identify opportunities for improved care. Here are some of those resources:

Medicare Health Outcomes Survey (HOS) Tip Sheet: Every year, the Centers for Medicare & Medicaid Services (CMS) sends the Health Outcomes Survey (HOS) to a random sample of Medicare members in the summer. Those same members are then surveyed again to look at changes in their self-reported health outcomes.

We published tip sheets for both ConnectiCare and EmblemHealth to assist your practice with enhancing your Medicare patients’ health care outcomes. Review the tip sheets to see how you play a vital role in this process.

Social Determinants of Health (SDOH): EmblemHealth is committed to addressing Social Determinants of Health (SDOH) through a critical collaboration between health plan sponsors, providers, and our community. SDOH are the non-medical factors that influence health outcomes including environmental, geographical, occupational, educational, and nutritional needs.

Watch our webinar where we discuss what SDOH are, why they are important, and their impact on individual health. The webinar also outlines how to address barriers by implementing programs focused on SDOH, how to advance your program, and the future of this work.

We published a new provider guide to Social Determinants of Health (SDOH). This guide includes a list of assessment tools, strategies for our providers to use in their offices, coding guidance, and a section on how EmblemHealth can help you and your patients.

The above guides are housed on the Quality Improvement section of our website. We encourage you to visit this page and dig into the many resources we’ve collected for your use. We also invite you to read about SDOH in our Population Health MD Perspectives by Dr. Lama El Zein, MD.

JP 62643 07/2023

Provider Update