Skip to main content
Avatar for GitHub user patvann

patvann/hcc-annual-wellness-visit

Resources

Increasing Medicare Annual Wellness Visits in Accountable Care Organizations

Medicare’s annual wellness visit (AWV) was introduced in 2011 as an opportunity for providers to focus on aspects of preventive care for eligible beneficiaries. Despite potential incentives for doing so, adoption of the AWV has been slow, which may be contributing to a relative paucity of data evaluating how conducting AWVs affects patient outcomes and health care spending. In this article, we discuss how a large Medicare accountable care organization implemented several innovations aimed at decreasing barriers to scheduling and increasing the efficiency and convenience of conducting AWVs, which led to a substantial increase in AWV rates within 12 months.

View Resource Paper

Risk Adjustment of Medicare Capitation Payments Using the CMS-HCC Model

This article describes the CMS hierarchical condition categories (HCC) model implemented in 2004 to adjust Medicare capitation payments to private health care plans for the health expenditure risk of their enrollees. We explain the model's principles, elements, organization, calibration, and performance. Modifications to reduce plan data reporting burden and adaptations for disabled, institutionalized, newly enrolled, and secondary-payer subpopulations are discussed.

View Resource Paper

EMRs using patvann/hcc-annual-wellness-visit

Value Based Geriatrics

Optimized for senior care, including hypertension, diabetes, dementia, Alzheimer's, and age-related conditions.

General Primary Care

Pre-built for managing common acute and chronic conditions across all age groups

Kidney Care

For CKD management across all stages, especially in older adults with diabetes and hypertension

Chronic Care Management

Optimized for multi-comorbidity patients with conditions like COPD, arthritis, and GI disease

Cardiovascular Health

Designed for heart failure, CAD, AFib, and complex cardiac care

Longevity Care

Designed for practices focused on proactive health optimization and preventive care.

Learn more about Canvas