Advantmed offers integrated solutions to help healthcare organizations improve performance.
In-home health assessments that close care gaps, drive improved clinical quality, and increase member engagement. When it comes to clinical quality and financial performance, you need an accurate, comprehensive picture of a member’s overall health status.
“Advantmed exceeded our expectations for both member connect and completion rates for health assessments. We had seen lower engagement with other vendors, but now we’re experiencing a 31% completion rate. We’re closing more care gaps and seeing a higher quality of care since our partnership.”
– Health Plan Partner
We work closely with our clients and PCPs to create effective, engaging programs. Our experienced call center team educates members and ensures that appointments are scheduled and confirmed.
We collaborate with providers to deliver seamless assessments and ensure continuity of care. After each visit, we send detailed letters to PCPs summarizing any care gaps, follow-up items, and referrals.
We survey members after each visit and we’re proud to consistently receive member satisfaction scores above 98% in post-assessment surveys.
On top of our over-read, we perform an additional 20% Inter-Rater Reliability (IRR) audit on both positive and negative outcomes, along with 100% of exclusions. This ensures that you’re receiving audit-ready, accurate data.
We use advanced predictive modeling to identify which members would benefit most from a health assessment, including those with suspected conditions, aps in care, or limited documentation.
Through one-on-one conversations with credentialed clinicians, we help you identify new conditions, recapture existing conditions, close care gaps, address barriers, and connect members with the right resources.
Our assessments capture detailed health information that might otherwise be missed, including potential urgent issues in the home, ensuring your members receive the care and resources they need to stay healthy.
Our secure, web-based telehealth technology seamlessly integrates with our HIPAA-compliant health assessments and Elevate^ platform. Our tablet-based assessments use smart, conditional logic and embedded technology to ensure that gaps are reviewed, validated, and addressed. Our dynamic questionnaire covers physical and mental health, and social needs.
Prior to the visit, we conduct clinical reviews that identify open gaps, remove false positives and provide actionable details for our providers.
Our client portal gives you up-to-the-minute visibility into your project’s status, including call notes, unscheduled members, and detailed performance reports.
Our health assessment programs meet CMS requirements and help close gaps for a range of risk adjustment, quality, and Star measures. We are also HITRUST-certified for added security.
With coverage in over 30 states, we can quickly scale our network to meet your needs, providing flexibility and reach when it matters most.
Through one-on-one conversations with credentialed clinicians, our in-home health assessments capture valuable health information that might otherwise be missed, including potential urgent issues. Our clinicians are there to answer member questions and concerns, ensuring they receive the care they need to manage their health more effectively.
Our team of physicians oversees the entire health assessment process, ensuring the integrity of the content, accurate identification of chronic conditions, proper credentialing, and high-quality output. All assessments are performed by our network of credentialed clinicians, who are specially trained to engage with both Medicare and commercial populations.
To enhance member engagement, our trained customer service team reaches out before and after assessments to answer questions, explain the process, schedule and confirm appointments, and follow up with members.
We audit 100% of assessments for completeness and quality (e.g., MEAT/TAMPER criteria, valid signatures, and conflicting diagnoses). Our two-stage over-read process is handled by experienced coders employed by Advantmed.
Stay informed with real-time visibility into your project’s status, including call notes, unscheduled members, and detailed reports—all accessible through our intuitive online client portal.
Our dedicated website, MyHealthAssessment.com, provides answers to frequently asked questions and helps members feel confident about their in-home visits.
Our Health Assessments integrate with HEDIS® admin measures, HEDIS hybrid measures, CAHPS/HOS, and additional CMS Star measures.
Through one-on-one conversations with credentialed clinicians, our in-home health assessments capture valuable health information that might otherwise be missed, including potential urgent issues. Our clinicians are there to answer member questions and concerns, ensuring they receive the care they need to manage their health more effectively.
Our team of physicians oversees the entire health assessment process, ensuring the integrity of the content, accurate identification of chronic conditions, proper credentialing, and high-quality output. All assessments are performed by our network of credentialed clinicians, who are specially trained to engage with both Medicare and commercial populations.
To enhance member engagement, our trained customer service team reaches out before and after assessments to answer questions, explain the process, schedule and confirm appointments, and follow up with members.
We audit 100% of assessments for completeness and quality (e.g., MEAT/TAMPER criteria, valid signatures, and conflicting diagnoses). Our two-stage over-read process is handled by experienced coders employed by Advantmed.
Stay informed with real-time visibility into your project’s status, including call notes, unscheduled members, and detailed reports—all accessible through our intuitive online client portal.
Our dedicated website, MyHealthAssessment.com, provides answers to frequently asked questions and helps members feel confident about their in-home visits.
Our Health Assessments integrate with HEDIS® admin measures, HEDIS hybrid measures, CAHPS/HOS, and additional CMS Star measures.
* For virtual visits, items are dependent on devices and equipment available in the members’ home.
