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Remote Patient Monitoring: Changing the Game for Medicare Star Ratings

RPM allows the Care Team to monitor member health remotely, with various technologies gathering real-time data and insights into their health status.

Graphic of woman on computer looking at their medicare star ratings.

Remote Patient Monitoring Transforms Healthcare Quality Measures

In recent years, remote patient monitoring (RPM) has emerged as a transformative technology in the healthcare industry. RPM allows the Care Team to monitor their members' health remotely, using various devices and technologies to gather real-time data and insights into their health status. This technology has the potential to significantly impact healthcare quality measures such as HEDIS (Healthcare Effectiveness Data and Information Set) and Medicare Stars Ratings.

HEDIS and Medicare Stars Ratings

HEDIS is a widely used set of standardized performance measures that assesses healthcare quality. The Medicare Stars Rating system is a quality rating system used by CMS to compare the quality of Medicare health and drug plans. By incorporating RPM into their care model, clinicians can improve HEDIS and Stars scores, delivering better care, improving health outcomes, and enhancing the member experience.

RPM Benefits

One of the key benefits of RPM is improved medication management for HEDIS and triple-weighted Stars measures. RPM enables clinicians to monitor whether members are taking their medications as prescribed, alter or recommend new prescriptions, understand their medications, preventing medication-related problems, and ensuring that members receive the full benefits of their medications. This can lead to improved medication adherence for Diabetes, Hypertension, Cholesterol, and Asthma as members are more likely to adhere to their medication regimens, resulting in better health outcomes.

In addition to improving medication management, RPM can also help clinicians monitor and manage chronic conditions such as diabetes, heart failure, hypertension, COPD and Asthma. By using RPM to monitor patients' vital signs, such as blood sugar levels and blood pressure, clinicians can identify potential problems early on and take action to prevent them from becoming more serious. RPM also empowers members to better understand their disease state, symptoms, and triggers for better self-management of their conditions. This leads to improved health outcomes and can positively impact HEDIS and Stars scores.

RPM also plays a critical role in improving member satisfaction, which is a key factor in both HEDIS and Stars scores. RPM can improve the quality of care and the member experience by providing members with care in the comfort of their homes and by potentially reducing preventable adverse health events. With RPM, members can also provide real-time feedback on their care experience, and Payers can use this feedback to identify areas for improvement and enhance the member experience. By providing members with a more convenient and effective care experience, clinicians can improve member satisfaction and ultimately improve their HEDIS and Stars scores.

In conclusion, remote patient monitoring is transforming the healthcare industry, providing clinicians with valuable data and insights into their members' health. By improving medication management, managing chronic conditions, and improving member satisfaction, RPM has the potential to significantly impact healthcare quality measures such as HEDIS and Medicare Stars quality, delivering better personalized care and improving health outcomes for members.

For more information, or to learn more about how AMC Health can help to improve your HEDIS and Stars scores, schedule a time to talk to our RPM experts.

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