To promote high-quality clinical care and overall patient well-being — and to support HEDIS efforts and maximize success on HEDIS scores — Point32Health encourages our provider partners to get your patients scheduled this year for any preventive services or screenings. These visits help identify or manage new or existing conditions and address gaps in care.
These include, among other services: eye exams for members with diabetes, cervical cancer screenings, or measures to manage or control conditions like hypertension.
Point32Health routinely provides many practices with member-level gap in care quality reports for members of our Harvard Pilgrim Health Care Commercial and Tufts Health Plan Senior Products plans (Tufts Medicare Preferred and Tufts Health Plan Senior Care Options). Please take advantage of this valuable resource! Remember to review these reports at least once a month for information on patients who are not compliant for certain quality measures or who may be overdue for certain health care services, laboratory tests, or screenings.
For Tufts Health Plan Senior Products, gap in care reports are shared via providers’ secure Electronic Data Download (EDD) account/mailbox for those provider groups who have one established, or sent via secure mail. Provider groups who do not have a secure EDD account can work with their assigned Contract Manager to set one up. Harvard Pilgrim gap in care reports are available through HPHConnect and accessible through a secure FTP.
And as a reminder, our provider website hosts a collection of HEDIS and Star Measure tip sheets, which highlight best practices and tips designed to identify opportunities to improve patient care and aid your practice’s performance on these measures. Be sure to check back periodically, as we often develop new tip sheets to assist you in different aspects of care.