Managed Healthcare Executive October 28, 2020
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...