Health Risk Assessments in Michigan's Medicaid Expansion: Early Experiences in Primary Care

Zhang, Eunice; Tipirneni, Renuka; Beathard, Erin; Lee, Sunghee; Kirch, Matthias; Salman, Cengiz; Solway, Erica; Clark, Sarah J.; Haggins, Adrianne; Kieffer, Edith C.; Ayanian, John Z.; Goold, Susan Dorr

doi:10.1016/j.amepre.2019.10.021

Cited by 1 publication

(2 citation statements)

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“…HRA completion rates continue to be a challenge for health plan providers, with average HRA completion rates within 60 days of plan enrollment reported at approximately 39% [ 19 ]. Health plan providers often incentivize members and their health care providers to complete HRAs, although financial incentives have not been reported to be significant motivators for either group [ 5 , 20 ]. Zhang and colleagues emphasize the role of front-line clinicians, such as primary care providers, in improving completion rates for HRAs [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Health plan providers often incentivize members and their health care providers to complete HRAs, although financial incentives have not been reported to be significant motivators for either group [ 5 , 20 ]. Zhang and colleagues emphasize the role of front-line clinicians, such as primary care providers, in improving completion rates for HRAs [ 20 ]. Accordingly, one state Medicaid plan provider reported a 49.3% HRA completion rate with recommendations from their primary care provider listed as the most common reason for completing an HRA by enrollees [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Implementation of a Health Risk Assessment into Workflow of the Appointment-Based Model at an Independent Community Pharmacy

Jackson¹,

McGrath²,

Carroll

et al. 2022

Pharmacy

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Health risk assessments (HRAs) are tools used to collect information on patients’ current health conditions, personal and family medical history, and lifestyle factors that can impact their overall health. The objectives of this pilot project were to implement an HRA as part of the appointment-based model workflow and to assess the resulting pharmacy-patient-care service opportunities. Sixteen HRA questions from a single health plan were incorporated into the appointment-based model workflow at an independent community pharmacy. Questions were administered either telephonically or in person over two patient encounters. Pharmacy staff were trained on how to administer the HRA, what to do if patients needed immediate assistance, how to provide referrals, and how to document of responses. Forty-nine patients were contacted and 38 (77.6%) completed the HRA. The median time for HRA completion was 19 min and the identified opportunities were vaccination (49), smoking cessation (15), diabetes prevention program (14), asthma control assessments (8), and substance use disorder screening and referral (3). This pilot project demonstrates that community pharmacies can implement HRAs and utilize the results to identify new pharmacy-patient-care service opportunities that can contribute to improved patient care and practice sustainability.

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Section: Discussionmentioning

confidence: 99%