CHESS Health Solutions

Not following a doctor's orders doesn't necessarily mean a patient is non-compliant. You usually have to dig deeper to discover whether or not there are other factors at play. Kari Curry shares an example of what a barrier to compliance can look like. #SDOH #SocialDeterminantsOfHealth #HealthEquity

Are your patients non-compliant? Or do they have other priorities that are getting in the way of their health? North Carolina's Healthy Opportunities Pilot is addressing #socialdeterminantsofhealth that get in the way of quality care. To qualify for these services, patients must have co-occuring physical/behavioral and social needs and live in a Pilot region. If they qualify, they'll gain access to housing, food, transportation, and interpersonal safety programs that will help them focus on the number on goal: their health. #SDOH #SocialDeterminantsofHealth #HealthEquity #HealthyOpportunitiesPilot

We've heard your concerns: it's challenging to staff for the full scope of care management required for complex Medicaid patients. That's why CHESS Health Solutions has developed a comprehensive care management delegation offering. Our experienced team leverages over a decade of experience in care management, care coordination, and transitional care management to provide individualized support for Medicaid beneficiaries. Interested in learning more? Send us a message! #CareCoordination #NCManagedMedicaid

One big priority in patient population management is moving to digital quality measurement. That's why we capture patient data in EHRs. It allows us to quickly extract any patient data needed for quality reporting. It also makes sure we're not creating additional work for providers. You can avoid manual chart reviews and data submissions whenever possible so you can spend more time where it counts: working directly with the patient.

Another month, another list of incredible employees that are celebrating their anniversaries with CHESS. We are so grateful for their commitment and contributions towards cultivating a value-oriented, compassionate, and health-aligned care community. Here's to many more years of collaboration and achievement together! #EmployeeAnniversary

Prior authorizations create a significant administrative burden for providers. An average practice completes 45 prior authorizations a week per physician. Physicians and their staff spend an average of 14 hours a week completing those requests. Rebecca Grandy - Director of Pharmacy at CHESS - shares how pharmacists can help reduce this burden, letting providers get back to practicing medicine. Learn more on the latest episode of the Move to Value Podcast. Available to stream wherever you get podcasts. #podcast #healthcarepodcast #valuebasedcare #priorauthorizations

Quality care isn't only about performance across your population. It's also about investigating health inequities. At CHESS, it's our goal to identify and eliminate disparities in care delivery. For example, if we look at a specific subpopulation, it's possible that they may not be receiving clinical care at the same rate as the overall population. It's our job to identify those gaps and help those people receive the care they need. #healthdisparities #healthequity #socialdeterminantsofhealth #qualitycare

Sometimes social determinants of health get in the way of patient care. Take Tina for example. She's a 16-year-old Medicaid beneficiary who was diagnosed with asthma when she was four. Her home's air conditioning stopped working, and her mom started to notice that Tina required her rescue inhaler more often. She was referred to our team at CHESS as part of the new Healthy Opportunities Pilot. We referred her to a Home Expense Assistance program that covered the cost of a brand-new AC for her family. This significantly improved Tina's asthma. Read Tina's story:

❌ Myth: Providers are chosen for you by Medicaid. ✔️Truth: Patients can choose any provider that accepts his or her Medicaid health plan.

Smoking-related illnesses cost the nation more than $300 billion every year. But you can play a vital role in helping your patients quit smoking. You can help by: + Advising them to quit tobacco use and discussing how that helps improve overall health + Offering tobacco cessation counseling + Prescribing tobacco cessation medications + Connecting patients to additional resources + Continuing support after quitting to prevent relapse + Continuing routine tobacco use screenings even after cessation The U.S. Public Health Service recommends implementing the 5 A's shown below to treat tobacco dependence.