People
The leaders most important to build relationships with at your assigned clients are....
What is 'it depends!'?
The frequency with which the MLS is updated.
What is weekly?
This way of closing the Colorectal Cancer Screening gap in care is good for just one year.
What is a FIT or FOBT test?
The Quality Transformation Initiative focus measures in California include the following AND:
- Controlling Blood Pressure
- Childhood Immunization Status (Combo10)
- HbA1c <8.0%
What is Colorectal Cancer Screening?
This is the largest payer in the country.
What is UnitedHealthcare?
The specialty that members are referred to for colonoscopy after a positive FIT test.
What is Gastroenterology?
The best way for a user to tell when a kit shipped.
What is the 'Ship Date' Column?
This test must be done annually, and an individual doesn't meet the measure if their result is not low enough.
What is an A1c or HbA1c test?
This Line of Business is made up of state-driven care for adults and children with limited incomes.
What is Medicaid?
Shark that partnered with Everly Health CEO Julia Cheek when she was showcased on Shark Tank.
Who is Lori Greiner?
This is why individuals with Medicare Advantage coverage in the United States recieve Colorectal Cancer and other recommended screenings free of charge.*
What is the Affordable Care Act?
Payer clients need this report to satisfy HEDIS requirements for kit result data submission, which is why some may say it's the most important report they receive.
What is the Supplemental Data File?
This measure previously allowed HEDIS reporters to 'chart chase' manually but is in the process of moving to a requirement for electronic reporting, which will likely have a negative reporting impact for all payers.
What is the Colorectal Cancer Screening measure?
This is the average cost of a colonoscopy in the United States (within $200 +/-).
What is $2,750 (source: CareCredit.com - chosen due to fact that they pulled data from members who used their card to pay for services)
This company was the first one that Everlywell launched a payer relationship with.
What is Humana?
People think this part of using an Everly Health Solutions kit is easy and convenient.
What is ... multiple correct responses!
This is what SFTP stands for.
What is Secure File Transfer Protocol?
HEDIS measures are a product of this organization.
What is the NCQA (double points if you know what NCQA stands for!)?
This is the special factor that was included in Stars cut point calculation in late 2023 that took many Payers by surprise, leading to lower-than-expected Star Ratings and associated financial penalties.
What are Tukey Deletions?
Payers are concerned about this federal legislation that limits how and when companies are allowed to outreach to members by phone.
What is TCPA or the Telephone Consumer Protection Act?
Examples of these are problem solving, active listening, emotional intelligence, nonverbal communication, etc.
What are soft skills?
Year over year comparisons to data are valuable but may not be the most meaningful. To find out the most meaningful data comparisons do this.
What is discuss the analysis with the client and understand their needs?
Payers have a history of receiving claims for labs, but not the associated lab values. This means they are not able to close the associated what?
What is HEDIS measure?
This is where you can find information about each HEDIS measure including exclusionary criteria, various ways to meet a measure, and more.
What is the HEDIS Tech Specs?
This company recently had a significant ransomware attack that impacted many payers and claims throughout the country and the impact will ripple for months to come.
What is Change Healthcare?