You may receive mailings from Harvard Pilgrim throughout the year reminding you to reach out to certain patients with chronic conditions to schedule office visits. These office visits are important in helping patients properly manage their overall health and aid Harvard Pilgrim in identifying disease management and other programs that may benefit the member.
In addition, they provide us with the information necessary for the Affordable Care Act’s (ACA’s) risk adjustment program (as detailed in the April 2014 issue of Network Matters). Regular assessment of the overall health of these patients, complete and accurate reporting of diagnoses, and submission of the appropriate documentation improves the accuracy of risk scores, encourages competition on the basis of price and quality, and promotes disease and medical management.
We appreciate your assistance in scheduling these important office visits.