Voluntary Medicare Patient Alignment

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This document discusses Medicare Voluntary Patient Alignment and provides options and strategies for practices. It notes that voluntary alignment through MyMedicare.gov allows beneficiaries to communicate their preference to align with a specific provider. It recommends practices schedule annual wellness visits, welcome visits, and enroll patients in chronic care management to increase alignment. The document also discusses reimbursable services like advance care planning, chronic care management, and remote patient monitoring that can be provided during visits. It provides strategies for practices to collect patient health histories and social determinants of health data to better manage patients.

Health & Medicine

Medicare Voluntary Patient Alignment is
VERY Important
Medicare YouTube Video

Medicare Voluntarily Alignment Initiative
-If you don’t do it, your competitors will
Decrease
Alignment
Increase
Alignment

Patient
Alignment
Options
Claims-Based: Plurality
of primary care services
received from a provider,
as evidenced in claims
utilization data
Voluntary: Beneficiaries
communicate their desire
to be aligned with
provider using
MyMedicare.gov

Alignment
Priority Voluntary Patient
Wellness Visit in past
24 months
Claims Plurality

Quick Data Report Resources
• Not enough attribution
claims billed.
Patients
Projected to
Be Removed
Report
• Once attributed but no
longer and the reason
why removed.
Beneficiary
Turnover
Analysis

Need a Plan – Claims Based
1. Schedule Annual Wellness Visits
2. Schedule Welcome Visits
3. Chronic Care Management (CCM)

Need a Plan – Voluntary
1. Approach patient before or after exam?
2. Kiosks to complete election or education only to
do at home?
3. During CCM or RPM encounter?

Reimbursement
-Patient Alignment Strategies
• Advance Care Planning
– First 30 minutes
– Provider Reimbursement
• Chronic Care Management (CCM)Enroll
– 20 minutes
– Provider Reimbursement
• Remote Patient Monitoring (RPM)Enroll
– 20 minutes
– Provider Reimbursement
$80
$40
$54

Patient Alignment Strategies
• Medicare Blue Button 2.0 FHIR
– Get Your Health Record
– Patient Share 4-Year Health History
• Collect Social Determinants of Health (SDOH)
– Get Your Health Record
– Patient complete electronically
• Interactive Health History
– Get Your Health Record
– Patient complete electronically
• MyMedicare.gov voluntary alignment
– MyMedicare.gov

Patient at Clinic for
Exam
MyMedicare.gov
Voluntary Align
MyMedicare OAuth
4-year history
SDOH
Interactive Health
History
Enroll CCM | RPM |
Advance Care
Planning
RPM ship device(s) to
patient request

CONTACT
Kris Gates
480.659.8130
gates@healthendeavors.com
www.datapointofcare.com

Senior citizens with one or more chronic conditions have a hard time managing their health. CMS was spending a lot of money on patient’s insurance who were suffering from chronic conditions. In order to cut down the expenses on hospital admissions, the CMS introduced the Chronic Care Management program. Patients usually visit their physicians for chronic care once or twice a year. With Chronic Care Management program, patient’s health improves due to increased attention and care. They can also spend less time on health issues and more on what they like to do.

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Voluntary Medicare Patient Alignment

1. Medicare Voluntary Patient Alignment is VERY Important Medicare YouTube Video

2. Medicare Voluntarily Alignment Initiative -If you don’t do it, your competitors will Decrease Alignment Increase Alignment

3. Patient Alignment Options Claims-Based: Plurality of primary care services received from a provider, as evidenced in claims utilization data Voluntary: Beneficiaries communicate their desire to be aligned with provider using MyMedicare.gov

6. Alignment Priority Voluntary Patient Wellness Visit in past 24 months Claims Plurality

7. Quick Data Report Resources • Not enough attribution claims billed. Patients Projected to Be Removed Report • Once attributed but no longer and the reason why removed. Beneficiary Turnover Analysis

8. Need a Plan – Claims Based 1. Schedule Annual Wellness Visits 2. Schedule Welcome Visits 3. Chronic Care Management (CCM)

9. Need a Plan – Voluntary 1. Approach patient before or after exam? 2. Kiosks to complete election or education only to do at home? 3. During CCM or RPM encounter?

10. Reimbursement -Patient Alignment Strategies • Advance Care Planning – First 30 minutes – Provider Reimbursement • Chronic Care Management (CCM)Enroll – 20 minutes – Provider Reimbursement • Remote Patient Monitoring (RPM)Enroll – 20 minutes – Provider Reimbursement $80 $40 $54

11. Patient Alignment Strategies • Medicare Blue Button 2.0 FHIR – Get Your Health Record – Patient Share 4-Year Health History • Collect Social Determinants of Health (SDOH) – Get Your Health Record – Patient complete electronically • Interactive Health History – Get Your Health Record – Patient complete electronically • MyMedicare.gov voluntary alignment – MyMedicare.gov

12. Patient at Clinic for Exam MyMedicare.gov Voluntary Align MyMedicare OAuth 4-year history SDOH Interactive Health History Enroll CCM | RPM | Advance Care Planning RPM ship device(s) to patient request

13. CONTACT Kris Gates 480.659.8130 gates@healthendeavors.com www.datapointofcare.com

Voluntary Medicare Patient Alignment

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