On August 19, the Department of Health Care Services (DHCS) released new data on Health Risk Assessment (HRA) completion rates in the Cal MediConnect program. A new dashboard will be available quarterly moving forward.
Fact Sheet on Health Risk Assessments (August 19, 2015)
October 2015 HRA Dashboard — April 2014 to June 2015 (October 28, 2015)
August 2015 HRA Dashboard – April 2014 to March 2015 (August 19, 2015)
Cal MediConnect HRAs
HRAs are a survey tool that assesses the full range of a beneficiary’s needs, such as medical and behavioral health, chronic conditions, and disabilities. A beneficiary’s HRA serves as the foundation of an individualized care plan and helps the Cal MediConnect health plan connect a beneficiary to the care and services they need. Cal MediConnect health plans are required to conduct the HRA within 45 days for beneficiaries that are identified as high risk, and 90 days for low risk beneficiaries (see Duals Plan Letter 15-005 for additional information).
As part of ongoing quality monitoring efforts, DHCS and CMS work with Cal MediConnect health plans to track completion rates. Because of the important role that the HRA plays in providing quick, timely, and appropriate care for the beneficiary, the HRA completion rate has been established as a “quality withhold” measure for Cal MediConnect. This means that a portion of each health plan’s capitation payment is withheld from payment and if the health plan meets the required threshold for this measure the health plan can earn back the withheld payment.
HRA Dashboard – April 2014 to September 2014** (February 11, 2015)
**Since this initial dashboard was released, DHCS and Services CMS worked with the Cal MediConnect plans to clarify reporting requirements and standardize definitions. All plans resubmitted data for April to September 2014, and the revised data is reflected as part of the August 2015 dashboard. This dashboard should no longer be used to understand plan performance.