Test your knowledge
CareVio Total Member Demographics
Longitudinal Programs
Transitional/Assistive Programs
Community Needs
100

A report that must be done annually to identify enrolled population's characteristics and needs and if applicable the characteristics and needs of relevant subpopulations, using available data and information.

What is a Population Health Assessment Report?

100

This gender was the most prominent across all CareVio Lines of Business

What is female?

100

This longitudinal program had the best participation rate of members programming longer than 60 days.

What is Heart Failure?

100

Aside from HRAC, PAC programs that showed high participation rates, these two programs tied for participation rates of 54%.

What are Social Work and Oncology programs?

100
The most frequently reported zip code aligning with a majority of SDOH reported need.

What is 19270?

200

Describes the program, the evidence base and reviews and adopts new findings that are relevant to the program as they become available.

What is a program description?

200

The 2nd most populated line of business type, with nearly 40,000 members (30%), whom CareVio was responsible for in 2022.

What is Medicaid?

200

Among participating members, this outcome showed a 67% improvement.

What is the rate of hemoglobin A1c drop in the Diabetes program?

200
This program exceeded the targeted 50% transition rate to a CV program or payer program, ending with a 63% referral rate.

What is HRAC program (transition)?

200

The most reported SDOH need reported via claims data for amongst all race.

What is Housing and Economic Circumstances?

300

A pilot program for 2023, which ironically aligns with a top reported diagnosis among the CareVio total population. 

What is the Metabolic Program?

300

Reported as the fourth most common primary language, this language double in member count between 2021-2022.

What is Spanish?

300

Program efficacy was evidenced for this program through a decrease in inpatient and ER utilization, as well as high PCP visits for the year of 2022.

What is Comprehensive Case Management?


300

This program, while not accredited, impacts the NCQA Standard for Care Transitions significantly, requiring intense workflows, policies and processes.

What is Post Acute Care (PAC)?

300

In the Medicaid Population, this substance was the most frequently reported.

What is alcohol usage?

400

The health outcomes of a group of individuals, including the distribution of such outcomes within the group.  It includes a process and outcome (goal)

What is Population Health?

400

After Preventative Care and COVID related clinical categories, this clinical category was the most frequently reported in the Medicare populations.

What is Cardiovascular?

400

These two programs had extremely low palliative care consultations for participating members.

What is COPD and CHF?

400

Oncology program participants had the highest residential location in this geographical area (provide either city, town, zip, etc)

What is Middletown?

400

Only accounting for 0.91% of the total CareVio population, this SPMI category remains a focus as it is identified that the Delaware Medicaid population had the 5th highest rate of ____ in comparison to other states.

What is Substance Use Disorder?

500

Utilizing this education will provide Case Managers the ability to increase engagement when outreaching to eligible members, improving outcomes, and providing members with behavioral change, while potentially improving disease management.

What is Motivational Interviewing?


500

This Severe and Persistent Mental Illness was the most frequently identified across the entire CareVio population as a whole.

What is Anxiety?

500

In the Diabetes program, this specific demographic was reported at 43% in 2021 data and jumped to 58% in 2022 data.

What is the race of African American?

500

A movement of patients between care settings (e.g., from home to hospital, hospital to rehab, etc) as condition and care needs change during the course of a chronic or acute illness.

What is a care transition?

500

Social Determinants of Health was identified in what percentage of the total CareVio population?

What is 10%?