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Helping you:
Achieve and Maintain
a Five-Star Rating
Mobile PRM >> Patient relationship platform, mobile software, and analytics
Mobile PRM >> Desktop, mobile, tablet solutions for patients and their health team
Engage Members >> 2-way, mobile, patient-centric applications support and reward
behavior changes to maximize ratings and reimbursements
Staying
healthy
Manage
Chronic
Conditions
Member
Satisfaction
Member
Safety
Supports 32 measures for improving scores
Watch our video
Improve Scores >> For Keeping Members Healthy
Measure Star Label
C01 Breast Cancer Screening
C02 Colorectal Cancer Screening
C03 Cholesterol Screening for Patients with Heart Disease
C04 Cholesterol Screening for Patients with Diabetes
C05 Glaucoma Testing
C06 Annual Flu Vaccine
C07 Improving or Maintaining Physical Health
C08 Improving or Maintaining Mental Health
C09 Monitoring Physical Activity
C10 Checking to See if Members are at a Health Weight
(BMI Assessment)
Staying Healthy
Annual Screenings >> remind and track
Staying Healthy
Vaccinations >> remind and track
Staying Healthy
Physical Activity >> monitor based on member preferences
Staying Healthy
Record
Report
Improve or Maintain Mental Health >> collect scores, analyze, report
Staying Healthy
Improve or Maintain Physical Health >> collect, compare, improve
Staying Healthy
Healthy Weight >> monitor progress toward goals
Staying Healthy
Reward Members >> for staying healthy
v
v
Staying Healthy
Educate Members >> on healthy behaviors
Staying Healthy
Improve Scores >>> Chronic Disease Management
Measure Star Label
C11 Yearly Review of All Medications and Supplements Being Taken
C13 Yearly Pain Screening or Pain Management Plan
C14 Osteoporosis Management
C15 Eye Exam to Check for Damage from Diabetes
C16 Kidney Function Testing for Members with Diabetes
C17 Plan Members with Diabetes whose Blood Sugar is Under Control
C18 Plan Members with Diabetes whose Cholesterol Is Under Control
C19 Controlling Blood Pressure
C20 Rheumatoid Arthritis Management
C23 Readmission to a Hospital within 30 Days of Being Discharged
C27 Overall rating of healthcare quality
C28 Members overall rating of health plan
C29 Coordination of Members' Health Care Services
Disease Management
Yearly Medication Review >> with compliance history
Disease Management
Annual Eye Exam >> remind and track history
Disease Management
Blood Pressure Control >> remind, track, alerts for early intervention
Disease Management
Blood Sugar Control >> remind, track, alerts for early intervention
Mobile view
Disease Management
Care Coordination >> share health record and coordinate care
Disease Management
Reward members >> for improving chronic disease management
Disease Management
Improve Scores >> Member Satisfaction
Measure Star Label
C27 Overall Rating of Health Care Quality
C28 Members’ Overall Rating of Health Plan
C29 Coordination of Members’ Health Care Services
C32, D08 Members Choosing to Leave the Plan
D10 Drug Plan Provides Information or Help When Members Need It
D12 Ease of Getting Prescriptions Filled When Using the Plan
Member Satisfaction
Overall Rating >> complete chronic disease management support Monthly health report
Member Satisfaction
Overall Rating >> valued incentives tied to behavior changes
Redeem points in
leading rewards
programs
Member Satisfaction
Overall Rating >> patient-centric services that improve outcomes
Member Satisfaction
Overall Rating >> prescription refill reminders
Member Satisfaction
Measure Star Label
D14 Plan Members 65 and Older Who Received Prescriptions for Certain
Drugs with a High Risk of Side Effects, When There May Be Safer
Drug Choices
D16 Taking Oral Diabetes Medication as Directed
D17 Taking Blood Pressure Medication as Directed
D18 Taking Cholesterol Medication as Directed
Improve Scores >> Member Safety
Member Safety
Take Medications as Directed >> consolidate, remind, instruct
Text, email, or push reminders;
right medication, right dose, right
time
Member Safety
Take Medications as Directed >> monitoring for early intervention
Patient confirmation
Clinician
monitoring
Member Safety
Improved
Outcomes;
Rewards for All
www.mobileprm.com pswingley@mobileprm.com

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Achieve and Maintain 5-Star Ratings for Health Peformance

  • 1. Helping you: Achieve and Maintain a Five-Star Rating
  • 2. Mobile PRM >> Patient relationship platform, mobile software, and analytics
  • 3. Mobile PRM >> Desktop, mobile, tablet solutions for patients and their health team
  • 4. Engage Members >> 2-way, mobile, patient-centric applications support and reward behavior changes to maximize ratings and reimbursements Staying healthy Manage Chronic Conditions Member Satisfaction Member Safety Supports 32 measures for improving scores Watch our video
  • 5. Improve Scores >> For Keeping Members Healthy Measure Star Label C01 Breast Cancer Screening C02 Colorectal Cancer Screening C03 Cholesterol Screening for Patients with Heart Disease C04 Cholesterol Screening for Patients with Diabetes C05 Glaucoma Testing C06 Annual Flu Vaccine C07 Improving or Maintaining Physical Health C08 Improving or Maintaining Mental Health C09 Monitoring Physical Activity C10 Checking to See if Members are at a Health Weight (BMI Assessment) Staying Healthy
  • 6. Annual Screenings >> remind and track Staying Healthy
  • 7. Vaccinations >> remind and track Staying Healthy
  • 8. Physical Activity >> monitor based on member preferences Staying Healthy
  • 9. Record Report Improve or Maintain Mental Health >> collect scores, analyze, report Staying Healthy
  • 10. Improve or Maintain Physical Health >> collect, compare, improve Staying Healthy
  • 11. Healthy Weight >> monitor progress toward goals Staying Healthy
  • 12. Reward Members >> for staying healthy v v Staying Healthy
  • 13. Educate Members >> on healthy behaviors Staying Healthy
  • 14. Improve Scores >>> Chronic Disease Management Measure Star Label C11 Yearly Review of All Medications and Supplements Being Taken C13 Yearly Pain Screening or Pain Management Plan C14 Osteoporosis Management C15 Eye Exam to Check for Damage from Diabetes C16 Kidney Function Testing for Members with Diabetes C17 Plan Members with Diabetes whose Blood Sugar is Under Control C18 Plan Members with Diabetes whose Cholesterol Is Under Control C19 Controlling Blood Pressure C20 Rheumatoid Arthritis Management C23 Readmission to a Hospital within 30 Days of Being Discharged C27 Overall rating of healthcare quality C28 Members overall rating of health plan C29 Coordination of Members' Health Care Services Disease Management
  • 15. Yearly Medication Review >> with compliance history Disease Management
  • 16. Annual Eye Exam >> remind and track history Disease Management
  • 17. Blood Pressure Control >> remind, track, alerts for early intervention Disease Management
  • 18. Blood Sugar Control >> remind, track, alerts for early intervention Mobile view Disease Management
  • 19. Care Coordination >> share health record and coordinate care Disease Management
  • 20. Reward members >> for improving chronic disease management Disease Management
  • 21. Improve Scores >> Member Satisfaction Measure Star Label C27 Overall Rating of Health Care Quality C28 Members’ Overall Rating of Health Plan C29 Coordination of Members’ Health Care Services C32, D08 Members Choosing to Leave the Plan D10 Drug Plan Provides Information or Help When Members Need It D12 Ease of Getting Prescriptions Filled When Using the Plan Member Satisfaction
  • 22. Overall Rating >> complete chronic disease management support Monthly health report Member Satisfaction
  • 23. Overall Rating >> valued incentives tied to behavior changes Redeem points in leading rewards programs Member Satisfaction
  • 24. Overall Rating >> patient-centric services that improve outcomes Member Satisfaction
  • 25. Overall Rating >> prescription refill reminders Member Satisfaction
  • 26. Measure Star Label D14 Plan Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, When There May Be Safer Drug Choices D16 Taking Oral Diabetes Medication as Directed D17 Taking Blood Pressure Medication as Directed D18 Taking Cholesterol Medication as Directed Improve Scores >> Member Safety Member Safety
  • 27. Take Medications as Directed >> consolidate, remind, instruct Text, email, or push reminders; right medication, right dose, right time Member Safety
  • 28. Take Medications as Directed >> monitoring for early intervention Patient confirmation Clinician monitoring Member Safety