The Number: 16

Submitted by Rob Wyse on Fri, 08/03/2018 - 15:22

Just sixteen percent (16%) of Medicare plan members with chronic conditions said they had a follow-up on quality of care after a provider visit, as reported to HealthMine in a recent study.  Only ten percent (10%) of plan members surveyed said their health plan offers guidance about these chronic conditions.

“If members feel that their health plan knows them, but doesn’t actively communicate with them or help them manage their chronic conditions, it is an opportunity for plans to take action,” Bryce Williams, CEO of HealthMine, told Managed Healthcare Executive.

“Actively managing care enables payers to check off which patient services were completed and which are still needed so they can proactively identify gaps in care as well as adhere to HEDIS quality measures,” continues Williams.

According to the Centers for Disease Control and Prevention, one in two adults in the US has a chronic condition, which costs the United States upwards of $1 trillion annually. The top chronic conditions reported to the HealthMine survey were hypertension (66%), hyperlipidemia (42%) and diabetes (25%).

Forty-six percent (46%) of survey respondents answered that their plan never communicates with them about their chronic condition, and another 19 percent (19%) noted communication only one time per year. Despite these low numbers, sixty-two percent (62%) say their health plan does know them well. The results are from a survey of 781 Medicare plan members with a chronic condition and was fielded in June/July 2018.