Welcome to Summit Health
Welcome to the December issue of the Summit Health Newsletter. As a valued Summit Health partner, we appreciate your commitment to providing the highest quality care to our members.
Below is a preview of the articles you will find in this month's issue:
Read this issue at yoursummithealth.com or access archived newsletters.
Visit archived newsletters here.
To ensure we are providing the information you need to deliver better care to your patients, we would love to hear from you. Please let us know if you have any questions, concerns or recommendations on topics that we can include in future issues.
Thank you,
Your Summit Health Team
The Summit Health team is beginning our end-of-year clinical quality measure data collection process for clinics who participated in the 2022 Medicare Advantage Primary Care Incentive Program (MAPCIP).
For the 2022 measurement year, three of the quality measures included in the MAPCIP are clinical quality measures (CQMs), meaning they are based on data submitted from practice electronic health record (EHR) systems. These measures are:
Summit Health is allowing providers to submit a summary report of measure results instead of patient-level data. Either Summit Health-specific or all-payer data is acceptable. The data must be submitted via an Excel template, similar to reports for EOCCO CQMs. Specific instructions are included in the Excel template, and you must attest that the data is accurate.
Clinical quality measure performance summary reports must be submitted to summarydata@modahealth.com by March 17th, 2023 to be eligible for the 2022 Performance Based Incentive Payment.
Please reach out to providerreports@modahealth.com with any questions.
A few months ago, we announced that we were in the process of implementing a web-based Care Gap Management Application (CGMA) by Novillus that would allow clinics to view and close care gaps, capture Hierarchical Condition Codes (HCC’s) throughout the year, manage your patient roster, and view your incentive program progress.
We are pleased to announce that the tool is now live and ready for you to onboard. Our goal in implementing the CGMA is to provide a valuable and easy-to-use tool for our clinic partners to capture HCC’s and close care gaps. The CGMA onboarding process does not require any lift from clinics to get started, besides simply setting up login access.
Please contact EOCCOmetrics@modahealth.com if you are interested in learning more about the CGMA or onboarding.Every year in the US, hundreds of thousands of people are hospitalized due to flu infection. Getting an annual flu shot during flu season is the best way to prevent flu infection and serious complications.
Flu shots are especially important for those who may be at higher risk of developing complications, including: adults over the age of 65 and individuals with certain chronic health conditions or weakened immune systems.
The CDC recommends an annual flu vaccine for everyone 6 months of age or older.
This year, the composition of flu vaccines has been updated. There are three flu vaccines that are preferentially recommended for people 65 years of age and older.
This recommendation is based on a review of evidence from several studies which suggests that these three flu vaccines are potentially more effective at preventing influenza infection in the >65 year old age group compared to standard dose unadjuvanted flu vaccines (CDC, 2022) .
Additionally, as long as a patient is eligible for a COVID-19 vaccination or booster shot, it is safe for them to receive both the COVID-19 vaccine and the flu shot at the same visit. Evidence from a recent CDC study indicates that people who received a flu shot and an mRNA COVID-19 booster shot at the same time were only slightly more likely (8-11%) to report experiencing mild systemic reactions (such as fatigue, headache, and muscle aches) post-vaccination compared to people who received just a COVID-19 mRNA booster shot.
Visit the CDC for information about the 2022-2023 flu season and a detailed COVID-19 vaccine schedule.
Questions related to EOCCO & Summit Health Quality Measures?
Please email EOCCOmetrics@modahealth.com
Questions for Provider Relations?
Please email Noah Pietz at ProviderRelations@yoursummithealth.com
Questions related to Risk Adjustment?
Please email risk@yoursummithealth.com
Questions related to HEDIS Chart Collection?
Please email HEDIS@modahealth.com
If you would like to be added or removed from this email list, please let us know at ProviderInquiry@yoursummithealth.com
Copyright © 2022 Summit Health Plan, Inc. All rights reserved.
Last updated Oct. 1, 2023
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