Summit Provider Newsletter - March 2022

In-Home Assessments to Support Your Patients

Welcome to the March 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:

• In-home Assessments for Your Patients
• March is National Colorectal Cancer Awareness Month

Visit archived newsletters here.

Your voice matters

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

In-home Assessments for Your Patients

Summit Health has partnered with Signify Health to offer no cost In-home Health Assessments (IHA) to select Summit Health members during the 2022 calendar year beginning February 21, 2022. Members chosen to participate will be offered the opportunity to have either an In-home or Virtual health assessment completed by a licensed Signify Health practitioner from the comfort of their own home.

The In-home and Virtual assessments generally include:

• A comprehensive exam
• Assessment of clinical and personal history
• Medication reconciliation
• Assessment of risk factors including social determinants of health and falls risk, if completed In-Home
• Appropriate health education and guidance based on completed assessment

This service is again offered at no cost to our members, does not use any member benefits, and will not replace the Annual Wellness Visit (AWV). The IHA is intended to help our members, their PCP’s, and Summit Health to better understand and manage healthcare needs and case management opportunities.

If your patients are eligible and complete an IHA, you will receive an after visit summary letter directly from Signify Health. Your patient’s summary letter will include comprehensive assessment outcomes and member health recommendations to assist in making informed decisions about your patients health.

For general program questions and information, please contact us directly at Risk@YourSummitHealth.com.

For questions related to the IHA outcomes, please contact Signify Health at 855-319-4448.

March is National Colorectal Cancer Awareness Month

Colorectal cancer is the second leading cause of cancer-related deaths for men and women in the U.S.¹ Screenings can detect precancerous growths at an early stage, when treatment has the highest likelihood of success.²

We encourage you to use the outreach rosters on the Summit Health provider progress reports to identify your patients that are due for a colorectal cancer screening. Colorectal Cancer Screening is a Medicare Star Measure defined as the percent of members ages 50 to 75 who had appropriate screening for colon cancer.

Our Summit members 50 and older have no cost-sharing ³ when seeing in-network providers for the following:

• Flexible sigmoidoscopy (or screening barium enema as an alternative) every 48 months
• One of the following every 12 months: Guaiac-based fecal occult blood test (gFOBT) or Fecal immunochemical test (FIT)
• DNA based colorectal screening every 3 years
• For people at high risk of colorectal cancer, we cover a screening colonoscopy (or screening barium enema as an alternative) every 24 months
• For people not at high risk of colorectal cancer, we cover a screening colonoscopy every 10 years (120 months), but not within 48 months of a screening sigmoidoscopy

Ensure patients are provided with all their colorectal cancer screening options and discuss what is most appropriate for each patient. Access more resources and information about colorectal cancer at the American Cancer Society.

To find information on Medicare coverage for colorectal cancer screening tests and appropriate billing codes, visit the Medicare Learning Network.

¹ Centers for Disease Control and Prevention. What is colorectal cancer? Centers for Disease Control and Prevention. Retrieved February 23, 2022, from https://www.cdc.gov/cancer/colorectal/basic_info/what-is-colorectal-cancer.htm

² American Cancer Society. Colorectal Cancer Facts & Figures 2020-2022. Atlanta: American Cancer Society; 2020.

³ A separate cost sharing may apply if additional diagnostic testing or procedure services are provided.

Upcoming Events & Training

Summit Health Spring Clinic Trainings

We are currently in the process of finalizing our 2022 Summit Health value-based contracting, which we expect to be mailed to you by late-March.

In support, our EOCCO and Summit Health Quality Improvement (QI) team will be conducting clinic trainings in April on the 2022 VBC and quality measures. These will be held in-person or virtual, depending on your clinic’s preference.

Please contact EOCCOmetrics@modahealth.com to schedule, if interested.

Questions?

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