Medicare
Compliance
The WV & WRV
Unique Value Propositions
ICARE
100

What is Traditional Medicare?

Traditional Medicare consists of Parts A and B

100

When is it okay to say "free"?

Never

100

What does WV and WRV stand for?

Welcome Visit & Wellness Review Visit

100

Name one of our Unique Value Propositions

We are primary care doctors for older adults on Medicare.

You won’t feel rushed, because we spend more time with you.

We have a care team to coordinate your care including doctors, physician assistants, nurse practitioners, nurses, medical assistants, and social workers.

We focus on keeping you healthy, and not just treating you when you are sick.

Our 24/7 support line of Oak Street Health representatives is available for you whenever you call, day or night.

Our Patient Relations Manager can help you with your Medicare so you get the benefits you qualify for.

We are more than a doctor's office, with a community room for events and activities like Bingo, exercise classes, concerts, and more!

100

What is a Probing Question?

A probing question is an open-ended question that seeks to uncover deeper information, thoughts, or feelings by asking for clarification, explanation, or examples

200

What is another term for Part C?

Medicare Advantage

200

How much can we spend per prospect per day?

$15

200

In what order do patients attend the WV and WRV?

The WV is the first appointment

The WRV is the second appointment

200

Which UVP highlights our ability to always be there for our patients at anytime, day or night?

Our 24/7 support line of Oak Street Health representatives is available for you whenever you call, day or night.

200

Provide an example of a probing question

Answer must be an open-ended question that seeks to uncover deeper information, thoughts, or feelings by asking for clarification, explanation, or examples.

- Tell me about your healthcare experience

- Who do you call when you get sick in the middle of the night?

300

What is the difference between Medicare and Medicaid?

Medicaid is for people who are low income, regardless of age

Medicare is for people who are over 65 or with a disability, regardless of income

300

True or False?

Creating custom flyers is compliant

False

300

In which appointment do we capture initial medical and social history?

The WV

300

What questions can you ask that might help you bring up the UVP:

Our 24/7 support line of Oak Street Health representatives is available for you whenever you call, day or night.

What has your experience been like contacting your PCP during or after hours?

With you current PCP, if you had a medical concern come up after hours, who would you contact?

Who do you call if you have a medication question or are experiencing symptoms?

When you call your doctor do you talk to a real person or a machine?

If you’re out of medication in the middle of the night- who do you call for help?

300

What does the A in ICARE stand for?

Ask & Associate

400

Can someone under the age of 65 be qualified?

Yes, but only if they have a qualifying disability

400

True or False?

It is okay to send the OSH and CVS logo to field account partners as soon as they ask

False

400

In which appointment do we create a customized care plan?

The WRV

400

What questions can you ask that might help you bring up the UVP:

Our Patient Relations Manager can help you with your Medicare so you get the benefits you qualify for.

How do you stay up-to-date on your changing Medicare benefits?

Do you have anybody that you talk to about your Medicare benefits?

When's the last time you spoke with somebody about your Medicare benefits?

400

What does the "I" in ICARE stand for?

Introduce & Qualify

500

Can someone be seen as a patient at Oak Street Health if they have only have Part A?

No, they cannot be seen as a patient at any center

500

Can we volunteer at a Food Pantry and pass out food?

No, OSH does not have a food handling license -- we cannot pass out food.

500

In which appointment do we conduct a comprehensive review of health conditions?

The WRV

500

How can you talk about the UVP:

You won’t feel rushed, because we spend more time with you.

Our patients get about twice as much time with their providers, so they're never rushed or hurried through appointments.

Most Medicare doctors have over 2,000 patients, so it's no wonder they have so little time to spend with each patient! At OSH, we cap our providers at 500 patients, so they are never overbooked, and always able to give their patients the time and attention they deserve.

500

What does the R in ICARE stand for?

Name all four parts

The R stands for "Reassure"

CANI - Clarify, Acknowledge, Neutralize, Influence

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