Healthcare

Model of care for SNP


Use outsourcing to address the unique needs of each beneficiary while improving compliance, quality, and care/loss ratios for special needs plans (SNPs)

HGS AxisPoint Health

HGS AxisPoint Health is one of the few service providers that offer a full model of care (MOC) program for special needs plans (SNPs) as an outsource solution.

Model of care is considered a vital quality improvement tool and an integral component for ensuring that the unique needs of each beneficiary enrolled in a SNP are identified and addressed.

Ours is a comprehensive program through which care is efficiently delivered and well-coordinated by integrating all Medicare and Medicaid physical health, behavioral health, pharmacy, and community-based services through an interdisciplinary care team.

We achieve compliance for SNP plans facing CMS audit remediation and corrective action plan implementations. HGS has expert experience across the systems, policies and procedures, processes, and reporting requirements that are necessary to deliver care coordination and care management to D-SNP and C-SNP members. Our expertise includes generating high completion rates for health risk assessments (HRAs) using telephonic, web, and mail modalities.

Our model of care for SNP program components

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Initial health risk assessment (HRA) for every member within 90 days of enrollment

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Individualized care plan (ICP) developed and implemented for every member

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Ongoing communication among the interdisciplinary care team (ICT) to manage the ICP

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Coordination of transitions of care

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Reassessment HRAs (within one year of the previous HRA)

This solution is right for SNP health plans who are looking to be compliant, impact their medical care ratio/medical loss ratio, and drive member satisfaction.

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