Welcome to Summit Health
Welcome to the June 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:
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
We know that primary care plays a key role in improving and maintaining the overall health of our members. Unfortunately, the COVID-19 pandemic resulted in many Medicare patients putting off their preventive visits, such as their Medicare Annual Wellness Visits (AWV) and Annual Physical Exams.
Please join us in encouraging your patients to complete their AWV or Annual Physical Exam to stay up to date with their preventive care.
Your Summit Health patients have a covered AWV (once every calendar year) and an Annual Physical Exam (once every calendar year) at no cost. While these visits are not Medicare Star Measures, they are important opportunities to impact many quality measures and improve better health outcomes for your patients.
These also allow opportunities to evaluate and discuss health topics that are included in the annual CMS Health Outcomes Survey (HOS) that takes place from July through November, including:
An AWV and the Annual Physical Exam can be completed at the same visit and can also be combined with a problem visit, but please note that a cost-share would apply if combined with a problem visit.
Be sure to explain any additional services that may be done during a visit so that your patients understand their expected out-of-pocket costs.
In this time of unprecedented health system constraints, we’ve partnered with Strive Health to support you in providing kidney health management to your Summit Health patients
This program supports patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD) by providing a continuum of care management and direct clinical care, helping patients as their disease progresses.
Kidney care sometimes focuses on dialysis alone after a patient’s health has deteriorated. Strive’s goal is to engage patients with CKD stage 3 to 5 or ESRD. The program serves as an extension of your practice by managing patients early and throughout their entire kidney care journey, aligned with each patient’s individual needs. Early identification and high-touch engagement result in:
Strive routinely engages participants to support their overall health and well-being in-person, by phone, and through other channels. Patients will receive education about their condition and treatment options for condition management, and are engaged in care planning activities. This will include information about:
Care plans are customized to fit the patient’s needs and preferences.
Questions?
We’re here to help! To learn more, email Strive Health’s Lisa Dietz at ldietz@strivehealth.com.
In 2020, the Centers for Disease Control and Prevention (CDC) reports that males have a shorter life expectancy than women by 5 years, with the leading cause of death including heart disease, cancer, and COVID-19.
Join us in supporting and raising awareness of healthy lifestyle choices for your male patients. As men age, it is more important than ever to have regular Annual Wellness Visits and routine preventive care. This provides the opportunity for early detection and treatment of preventable health problems and management of overall health.
Your Summit Health patients have access to the following covered preventive services when seeing an in-network provider:
Please note that a separate cost sharing may apply if additional services are provided.
Summit Health Trainings and Support
Our EOCCO and Summit Health Quality Improvement (QI) team provides concierge support through dedicated QI staff, clinic trainings, and regular touchpoints.
Please contact EOCCOmetrics@modahealth.com to schedule a meeting, if interested.
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
Last updated Oct. 1, 2023
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