Surveys such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS®)/Health Outcomes Survey (HOS) are used to gauge the members’ experience with their provider and focus on certain health topics.
CAHPS/HOS scores account for more than a quarter of a health plan’s overall Star Ratings from the Centers for Medicare & Medicaid Services (CMS). When these ratings improve, it’s an indicator that Asuris patients are having meaningful conversations with their providers and receiving helpful information during their provider visits to lead healthier lives.
This toolkit was designed to help you have memorable conversations with your patients. The resources focus on various health topics for delivering the best possible care.
The CAHPS/HOS and other provider-driven quality measures included in this toolkit are:
- Advance care planning
- Bronchitis
- Cancer screening
- Care coordination
- Chlamydia screening
- Fall risk coaching
- Getting care quickly
- Hypertension
- Incontinence management
- Influenza immunization
- Low back pain
- Maintaining a healthy weight
- Medications and member experience with medications
- Monitoring physical activity
- Overall rating of health care
- Pneumonia immunization
- Tobacco cessation
- Well-child visits
Wellness and preventive visits for Medicare Advantage members
We’ve gathered the resources, information about member benefits and best practice tips to:
- Help you understand how the care your patients receive impacts these scores
- Provide information about how access to care and care coordination can improve patient outcomes
- Provider checklist for member surveys: This checklist contains questions that your patients will be asked in surveys, as well as recommended Healthcare Effectiveness Data and Information Set (HEDIS®) measure screenings
- Healthwise Knowledgebase for patient resources on health topics
- Availity Essentials to verify member benefits
- Our Medicare Advantage Quality Incentive Program includes incentives for PCPs who participate in our CAHPS/HOS survey. Earn incentives when you address and close care and diagnosis gaps for Medicare Advantage members.
- The Agency for Healthcare Research and Quality (AHRQ) CAHPS Ambulatory Care Improvement Guide can help you enhance patient experience measured by CAHPS surveys
Filter options for Categories/Year/Languages:
- Select the drop-down Categories menu to see each topic, including best practices, member benefits and other resources.
- Check a box (or multiple boxes) for topic(s)
o Examples include: Advanced care planning, bronchitis or low back pain - Click Year (select “All years”)
- Optional: Click Languages to filter if desired
Search bar:
- Use the search option if you want to go directly to a flyer (not all flyers have the topic in the title and using the search bar bypasses the category information)
Important notes:
- Selecting the “All Documents” category:
- Provides an alphabetic list of flyers by title and language
- Does not show additional information about the topic, like best practices, member benefits and other resources
- Does not give the year
- Does not show which category a flyer is associated with