Health
Risk Stratification: Targeted Tools and Methodologies to Prevent
Illness and Improve Health
To
deflect the cost of chronic care, the scope of healthcare has broadened
to embrace prevention. Using a variety of tools and methodologies, more
healthcare organizations are striving to pinpoint that population
poised for or in the midst of a health crisis and then attempting to
slow or prevent complications. This special report, Health
Risk Stratification: Targeted Tools and Methodologies to Prevent
Illness and Improve Health, profiles the efforts of
two organizations who have successfully identified high-risk members
and patients and aligned appropriate interventions.
In
separate case studies, Health Risk Stratification:
Targeted Tools and Methodologies to Prevent Illness and Improve Health
chronicles the paths of two healthcare organizations seeking to
identify health risk factors in their respective populations and
develop policies and outreach to put these individuals on the road to
better health. With a special focus on the challenges of connecting
with Medicaid enrollees, this 38-page special report highlights the
essential role of the health risk assessment (HRA) tool in pinpointing
the health status of employees and health plan members.
This
40-page report is based on contributions from Thomas Ferraro,
business development director with Mayo Clinic Health Management
Resources, and Penelope Kokkinides, national vice
president of disease management with AmeriChoice, a United Healthcare
Company, who presented at a HIN audio conference in August 2006.
PLUS
this report contains a detailed analysis of the more than 200 responses
to HIN's 2005 online survey on the use of HRAs by health plans,
employers and healthcare providers.
You'll
get details on:
- Identifying
health risk factors in populations and mapping risks to interventions;
- The
special challenges of engaging the Medicaid population;
- Post-HRA
interventions to promote health;
- The
incentive debate -- whether carrots or sticks motivate individuals to
participate;
- Collecting,
analyzing, integrating and storing HRA data;
- Interacting
with HRA and disease management vendors;
- The
impact of HRAs on more than 200 healthcare organizations who use them
-- employers, health plans and providers;
- and
much more.
Table
of Contents
- Strategies
for Identifying and Referring the Appropriate Service and Intervention
- Four Key Drivers of Participation
- Matching Risk Factors to Interventions
- The Role of Campaigns
- The Coaching Continuum
- Utilizing
Health Risk Assessment Data to Target and Identify Members at High Risk
for Chronic Disease
- Additional Challenges of the Medicaid
Population
- The HRA Process at AmeriChoice
- Time Constraints and Frequency of HRAs
- Internal HRAs Yield the Best Results
- Identifying Unnecessary Emergency Room
Utilization
- The HRA Engagement Process
- Targeting, Stratifying and Referring Members
- Vendor Interactions
- Key Program Factors
- HIN
Online Survey Results: How the Healthcare Industry Identifies Risk
Before It Becomes Reality
- A Tool for All Trades
- Incentives Boost Participation
- Mining Data for ROI
- Lessons Learned
- Moving Forward
- Q&A:
Ask the Experts
- Storage Formats for HRA Data
- Analyzing Higher Response Rates for Home-Grown
HRAs
- Coach Contact Frequency and Caseloads
- Integrating HRAs with Other Data
- Optimal Length for an HRA Questionnaire
- The Effect of the Medium on the HRA
- Reducing Inappropriate ER Utilization
- Acquiring NCQA Certification
- Carrots or Sticks: Incentives That Get Results
- Glossary
- For
More Information
- About
the Authors
Publication
Date: October 2006
Number
of Pages: 40
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