This document discusses ways that MedXM can help improve Star ratings for various healthcare measures. It outlines services like osteoporosis screenings through bone mineral density testing, diabetic retinopathy exams, post-hospital discharge visits to reduce readmissions, blood pressure screenings and control, and hemoglobin A1C testing to monitor and control diabetes. Performing these services through MedXM is suggested as a way to increase Star ratings by up to two stars on some measures.

1. osteoporosis screenings
JOURNEY TO
THE STARS
Follow the stars to discover 5 ways MedXM
can help improve your Star ratings.
DIABETIC RETINOPATHY EXAM (DRE)
POST HOSPITAL DISCHARGE VISITS
$17.9 BILLION
$11,200
PER YEAR
Cost of Osteoporosis in direct
medical treatment costs.
Perform non-invasive
ultrasounds on:
1
1
3
2
CMS
WEIGHT
MedXM home or retail-based
Bone Mineral Density testing
has moved health plans up by
1 or more Stars in 1 year.
BLOOD PRESSURE (BP) CONTROL
Diabetic retinopathy is the most
common diabetic eye disease and a
leading cause of blindness in
American adults.
3 Options for Performing the DRE:
1 Technician &
Retinal Camera
3
Optometrist &
Comprehensive Eye
Exam
2 Nurse Practitioner &
Retinal Camera
during an HRA
1CMS
WEIGHT
MedXM home or retail-based DRE
can move a health plan up to 2
Stars in one year.
Average cost of a readmission
for any given cause with a
21.2% readmission rate.
29%
Identify key risk factors
that could lead to
re-hospitalization.
Ensure patient
understanding of sending
physcian post-hospital
regimen.
Medication
Reconciliation &
Counseling
Follow up for
continuity of
care.
3CMS
WEIGHT
MedXM Post Hospital Discharge Visits
have been known to reduce
re-hospitalizations by:
$46
BILLION
PER YEAR
IN EXCESS
MEDICAL COSTS
IN LOST
PRODUCTIVITY
Cost of high blood pressure health care
services, medications, and missed
days of work.
CONTROL
OF BLOOD
PRESSURE
TAKES SEVERAL
VISITS
3CMS
WEIGHT
MedXM clinicians can help raise health
plans’ Star scores up to 2 stars on this
heavily weighted measure.
Offer Blood Pressure Screenings to:
1
HGBA1C CONTROL
Diabetes is one of the most common and costly
of all chronic diseases.
$153
B
ILLIO
N
B
ILLIO
N
$65
IDENTIFY
2MONITOR
3 TREAT
Provide members with Hemoglobin A1C tests to:
IDENTIFY
1
MONITOR
2
TREAT
3
3CMS
WEIGHT
MedXM can increase a
plan’s star ratings by 1 or
more stars with this high
scoring measure.
65+
RECENTFRACTURE
WITH
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REFERENCES
1 US Dept of Health and Human Services, Public Health Service, Office of the Surgeon General. Rockville, MD: Washington, D.C.: United States: Public Health Service. Office of the Surgeon General;
2004. Bone health and osteoporosis [electronic resource]: A report of the Surgeon General
2 Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A J Bone Miner Res. 2007
Mar; 22(3):465-75.
3 Fracture Reduction Affects Medicare Economics (FRAME): impact of increased osteoporosis diagnosis and treatment. King AB, Saag KG, Burge RT, Pisu M, Goel N Osteoporos Int. 2005 Dec;
16(12):1545-57.
4 "Facts About Diabetic Eye Disease." Facts About Diabetic Eye Disease. Web. 27 Aug. 2015. <https://nei.nih.gov/health/diabetic/retinopathy>.
5 Healthcare Cost and Utilization Project (HCUP). April 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/data/hcup/index.html
6 Bernstein, Richard MD. MA Plan Alameda Alliance Reduces Using MedXM Post Hospital Discharge Visits Hospital Readmissions by 29% MedXM.
7 Mozzafarian D, Benjamin EJ, Go AS, et al. Heart Disease and Stroke Statistics-2015 Update: a report from the American Heart Association.Circulation. 2015;e29-322.
8 Dall TM, Zhang Y, Chen YJ, et al. The economic burden of diabetes. Health Aff (Millwood). 2010;29:297-303.
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