VanRein Compliance - Devoted Model of Care Questions And Answers

VanRein Compliance - Devoted Model of Care Questions And Answers Which types of Medicare Advantage plans need to submit a Model of Care? - ANS Only Special Need Plans (SNPs) Who creates the requirements for a Model of Care? - ANS CMS (the federal government) Compared to members just on Medicare, dual eligibles are more likely to - ANS A + B (Be younger than 65 and Be older than 85) Compared to individuals just on Medicare, dual eligibles are more likely to: - ANS Both A + B (Have 6 or more chronic conditions and Have behavioral health or substance abuse challenges) Individuals over 75 are more likely to have cardiac conditions than individuals under 75? - ANS TRUE African Americans, Hispanics, and American Indians have lower rates of diabetes than the general population? - ANS FALSE Which age group of Medicare members has the highest rates of diabetes related hospital events? - ANS Those under 65 What are some of the ways Devoted tries to do a Health Risk Assessment (HRA) with SNP members? - ANS - Sales agents and brokers after a prospect completes an application - Service guides during a welcome call - A mailed HRA How often does Devoted have to do a HRA with SNP members? - ANS - Within 90 days of when the member enrolls - Every 365 days since the last HRA