Managed Healthcare Executive October 28, 2020
Ted Kyi

Evaluating patients to determine their risk scores for Medicare Advantage payments traditionally involves face-to-face encounters, either in the physician’s office or increasingly in patients’ homes. The opportunity to sit down with patients, create a human connection, confirm existing chronic conditions and uncover any new health issues is considered an industry best practice.

Or at least it was until COVID-19 became a pandemic.

Just like that, primary care physician offices were limiting or stopping entirely all but COVID-19-related care, and health payers were telling clinicians not to conduct risk adjustment assessments in patient/member homes, to prevent the spread of the virus to other patients/members and to the clinicians themselves.

Of course the advent of a global pandemic did not mean...

Topics: Digital Health, Health IT, Insurance, Medicare Advantage, Payer, Provider, Technology, Telehealth
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