HMSA Updates
What is the last day to submit supplemental data for the 2026 measure year?
December 31, 2026
When was Medicare open enrollment for Hawaii extended until?
August
Which blood type is the universal donor for red blood cells?
O+
How can patients be added to a panel starting July 1?
A claim must be submitted by their provider
How many more patients were in the latest UHC report?
>300
Somnamublism is the medical term for which sleep disorder?
Sleepwalking
When will quality payments for Jan-June 2026 be paid?
Bonus: How are they being calculated?
Jan - March: June 2026
April - June: September 2026
Bonus: Using 2025 performance data
Explain the difference between the "Cohort PCP" and the "Correct PCP" in the MDX tracker
Cohort PCP is who patient is attributed to in the payment report, Correct PCP is who their actual provider is
In ophthalmology, DME is a common abbreviation for macular edema, or fluid accumulation in the eye, caused by what underlying medical condition?
Diabetes
How do Medicare stars ratings match with HMSA provider incentives?
4 Stars - $4 PMPM
4.5 Stars - $8 PMPM
5 Stars - $12 PMPM
Explain the benefits of providers addressing suspect conditions in Cozeva?
Identifies potential undiagnosed conditions, and providers can increase their RAF score, which counts towards their future PMPM
Which medical condition involves an elevated measurement in millimeters mercury?
Hypertension
If a patient scores 4.26 Medicare Stars, which rating will they be assigned?
4.5 Stars
Where could you find the reason that an ACO/Pearl patient was dealigned?
Pearl > Financials tab > Payment report > scroll down the bottom to see de-aligned beneficiaries and their reasons
What Eastern U.S. university's medical school, founded in 1893, had the first formal medical residency program?