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endobj 0000002938 00000 n HEDISpublicationsareavailableas electronic publications. PDF Commonwealth of Pennsylvania Department of Human Services Office of The PA-specific indicators were added to include services with high utilization in the BH Program that could HC not be mapped to any of the standard coding used in the HEDIS measure to identify follow-up office visits. ( Additionally,NCQA invites you to join HEDIS Users Group forinside information on HEDIS development and future directions. 65 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose during the measurement year. ComprehensiveDiabetesCare/HemoglobinA1cControlforPatientsWithDiabetes,EyeExamPerformedforPatientsWithDiabetes,BloodPressureforPatientsWithDiabetes. Official websites use .govA trailer NCQAs HEDIS Value Set Directory (VSD) includes the necessary third-party codes for use with adjusted measure specifications. Copyright 2023 National Committee for Quality Assurance. II . 0000004562 00000 n The UB Codes contained in the HEDIS specifications may be used by health plans and other health care delivery organizations for the purpose of calculating and reporting HEDIS measure results or using HEDIS measure results for their internal quality improvement purposes. NCQA also revisedthedenominatortoreflectthenumberofmembers,ratherthanmemberyears, andtoincludementalhealthdisordercodesinanypositionratherthanbyprincipaldiagnosis.Recognizingthatmentalhealthdisordersmaybetreatedbyprimarycareandotherpractitioners,NCQAremovedthementalhealthpractitionerrequirementfromthenumerator. 0000004949 00000 n hWO`06~@)N@&d.6l5@[)"$$dm29R1$2.K3LH(y ]3SISTM}~/'Ys9Z @ R M+[|Qs0@!| T8E#F>x=-g? HEDIS is a source for data contained in the California Health Care Quality Report Cards obtained from Quality Compass2022 and is used with the permission of the National Committee for Quality Assurance (NCQA). Anticipated Release Date: September 2023. Initiation and Engagement of Substance Use Disorder Treatment; changed the measurefrommember-basedtoepisode-based; changed thedenominatortolengthenthenegativeSUDhistoryperiodfrom60daysto194daysandremoveEDvisitsandmedicallymanagedwithdrawalfromthenegativeSUDhistoryperiod;removed the numerator requirementthatpsychosocialtreatmentaccompanypharmacotherapy; and revisedtheagestratificationstoreflectages1864yearsand65+years. HEDIS 2022 Percentile : HEDIS : Annual Dental Visit (Ages 2-20 years) 121,271 . ;(Y}e"XmT8,/l EP5ePVm8,&T2X, +|oM}> O~rEUnM~#jOicJ@2Yus 5 0 obj 0000024625 00000 n HSMk@WHM[Zl8 p ccwVrLCV{6GfP!Kh~&)/uY>ak9 Health Insurance Marketplace Quality Initiatives | CMS SNPs reported the following measures in HEDIS 2016: Colorectal Cancer Screening Care for Older Adults Use of Spirometry Testing in the Assessment and Diagnosis of COPD Pharmacotherapy Management of COPD Exacerbation Controlling High Blood Pressure Persistence of Beta-Blocker Treatment After a Heart Attack endstream endobj startxref 0000000016 00000 n HEDIS data help identify performance gaps and establish realistic targets for improvement. 2022 HEDIS AND FIVE-STAR QUALITY MEASURES REFERENCE GUIDE HEDIS STAR MEASURE AND REQUIREMENTS DOCUMENTATION NEEDED CPT/CPTII CODES Annual Wellness Exam Measure ID: AHA, PPE, COA Description: Measurement Year Lines: Age: Medicare 18yrs & Older Blood Pressure Control Measure ID: CBP or CDC9 Description: EVERY VISIT Lines: Age: Medicare 18yrs - 75yrs 1343 0 obj <>/Filter/FlateDecode/ID[<2D87A2A235A2694FB1EEAE97FC4AEC75>]/Index[1320 39]/Info 1319 0 R/Length 109/Prev 246119/Root 1321 0 R/Size 1359/Type/XRef/W[1 3 1]>>stream (HEDIS) measures that assess quality of health care provided to Blue Shield Promise Medi-Cal members. 2527 53 Withthisdeprescribing measure, there isan opportunityto promote harm reduction by assessing progress in appropriately reducing benzodiazepine use in the older adult population. <> Avoidance of Antibiotic Use. 0000022424 00000 n Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriatetesting and inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. Ylyr2fi4vVDlhV]Zk:6d,,y+kQ. Visitors to this page often checkHEDIS FAQsor ask a question throughMyNCQA. VA outpatient measures closely follow the specifications set forth by the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS). Rate 1: Six or more well-child visits* 0 to 15 months. NCQA > Quality Compass 2023 (MY 2022) - Data and Reports Terms of Use, Every year,NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS. 0000035753 00000 n 9745 0 obj <> endobj xref https:// 0000014654 00000 n 0 \\R4G_$g$T!7(9 {+Ed. ( HEDISpublicationsareavailableas electronic publications. 0 Specifications outline measure definition and details, which outline the specifications required to evaluate the recommended standards of quality for the element(s) in the measure. You can decide how often to receive updates. ) !9g=SW[h ,3%`~,Z-"3b~lv?.cKQZLHJ*??Y$t)mvdQZt6F^_"g&Oa}t%&QZ./w|PCZE9vG2{m!miVv| Q@?\ti+3#{lgi MY 2002 was the yearfirst that follow-up rates were reported. Quality Compass 2023 Medicaid-Trended Data (MY 2022, MY 2021) As low as $5,220.25. endobj 0000045019 00000 n Accountable health care requires both measurement and transparency. gbv[Dp[,tkg`h`PR``46R @0ft@ ublH$`@K WH@uX^$28C23n`Rbts&H-dpo]n0ch K$l7@ LD%@H00r'UvU h# performance reported in the 2022 Quality Compass (measurement year 2021) for all lines of business that reported measurement year 2021 . 0000001946 00000 n 2022 Value Based Payment Reporting Requirements - New York State PDF HEDIS Tip Sheet - Pediatric Measures - Sunshine Health NCQAnowcollectsthenewAntibioticsforRespiratoryConditionsmeasure. Share this page with a friend or colleague by Email. 0000133484 00000 n 0000012465 00000 n Other changes assure that HEDIS will be useful, valid and reliable for a new era of medicine. PDF Rhode Island Medicaid Dental Program UnitedHealthcare Dental Annual click here for a discussion of this new measure. 0000010005 00000 n NCQAintroducedraceandethnicitystratificationstofiveHEDISmeasures: Colorectal Cancer Screening, Controlling High Blood Pressure, Hemoglobin A1c Control for Patients with Diabetes, Prenatal and Postpartum Care, and Child and Adolescent Well Care Visits, NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelp, disparitiesincareamongpatientpopulations. Trackingantibioticprescribingforallacute respiratory conditionswillprovide context about a healthplansoverall antibiotic use when viewedwiththree HEDIS measures ofappropriate. Table 4 displays the HEDIS performance measures for MY 2021 for PCCP. HbA1c Testingindicator. @_B^GR !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? D('@E$xVK`"P6 ?L dvC) ? To learnmore, clickherefor a discussion ofthe stratification, how we arrived atthiscurrentpoint andFAQs. HEDIS includes more than 90 measures across 6 domains of care: Under contract to CMS, NCQA supports the implementation of the HEDIS Medicare Health Outcomes Survey and the Medicare Health Outcomes Survey Modified. HEDIS SPECIFICATION OVERVIEW 2021 KEY: Indicates triple weight measure Revised January 2021 All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Bng vic tip tc s dng trang web ca chng ti, qu v ng vi Chnh Sch V Quyn Ring T v iu Khon S Dng ca chng ti.. OK PDF 2023 Annual Call for Quality Measures Fact Sheet - Centers for Medicare HEDIS nonsurvey measures for organizations; instructions on data collection for each measure; general guidelines for calculations and sampling. A list of potential measures for initial stratification in MY2022 are as follows: Controlling High Blood Pressure (CBP) Comprehensive Diabetes Care (CDC) Antidepressant Medication Management (AMM) Follow-Up After Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (FMC) Volume 2:Technical Specifications for HealthPlans. NCQA collects HEDIS data from health plans and other health care organizations. 0000016920 00000 n Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022. DeprescribingofBenzodiazepinesinOlderAdults. The information provided in this HEDIS QRG is to help you improve your practice's HEDIS rates. NCQArevisedthemeasurestructurefromutilizationtodiagnosed-prevalencementalhealthdisordersandupdatedthenameto. _hRos0Tx|1Ug% Access/Availability of Care. % Quality Compass 2022 includes certain CAHPS data. 2 Summary Table of Measures, Product Lines and Changes HEDIS MY 2023, Volume 2 HEDIS MY 2023 Measures Applicable to: Commercial Medicaid Medicare Changes for HEDIS MY 2023 Guidelines for Allowable Adjustments of HEDIS 9 9 9 x Updated Guideline 4: Exclusions to remove optional exclusions. Np1W>?,Y{ 0000007450 00000 n Two rates are reported. 42 0 obj <>/Filter/FlateDecode/ID[]/Index[26 26]/Info 25 0 R/Length 83/Prev 96543/Root 27 0 R/Size 52/Type/XRef/W[1 2 1]>>stream Individual HEDIS Measures Sheets | Providers | Optima Health 4950 0 obj <>stream rFZ /CvN`(,b$CoyeL`Y6P-@ For HEDIS measures that report age cohorts beyond 19 years old, rates reported below only extend to 19 years old to align with CHIP enrollment and are noted as such. S/K[ AOIp PDF HEDIS Benchmarks and Coding Guidelines for Quality Care The approved method for auditing the HEDIS production process, including an information systems capabilities assessment, an evaluation of compliance with HEDIS specifications and standards that Certified HEDIS Compliance Auditors must use when conducting a HEDIS audit. HEDIS quality measures for Accountable Care Organizations. PDF Rhode Island Medicaid Managed Care Program UnitedHealthcare Community Annual Technical Report, Calendar Year 2022 Hedis - Ncqa endobj Contacts and frequently asked questions | Blue Shield of CA Provider <> The percentage of episodes for members 3 months of age and older with a diagnosis of a respiratory condition that resulted in an antibiotic dispensing event. Tobacco Cessation Program. 0000008982 00000 n hbbd```b``akA$%Xd6dbe`X,,r, f_k0yDV[I vS _"A8^FO 0 E 0000133309 00000 n 1{z>Y^1(|@jF{iPu~tPmu]1fGdBg8T]\;j/y=d[cug.HPVOIFf?,e?~Z.IieF;&QU;L.ltC9=Ah&Bo*Xn;al}tZF M&3#n$eu-}^ LeofhpaA^3[o%d%aGfif~qUV(b|*+l'62[4Od!$|y6q*l;n V$QhTT/L3T{:]3bc+kG.J~}!r:WNY'~#&zLAo!b[!n}gRWvFE;uq\ct_'[NM~I yO=+ePxku^;{& h:t: pLW\{I\p-%iv) SA, 4w5%J*0$Ja!q_p=gDvqWA:O ON$v@x2Hj. PDF Required HEDIS and CAHPS Measures for HEDIS Reporting Year 2022 0000000016 00000 n !nGK3(@kt !1}wJ5|?7lm^[/ e|_ zLIUQKO5E*;'rc2@wN2| 2e^ w7] x-7q^5(Ms-NYkelK*:gY\5V[l.Anr|XeNBe,KxGnrtmL{_-ApmCw2+E2TA@GhQWyteWLLvpaPeH5XR 0000011691 00000 n 0000008747 00000 n } !1AQa"q2#BR$3br NCQA Communications Every year, NCQA updates and releases the Healthcare Effectiveness Data and Information Set (HEDIS). <> Tables 1-3 below include . 0000013541 00000 n !3$Y:wn=3. Measures Reported Using Electronic Clinical Data Systems HEDIS Medicare Health Outcomes Survey PDF 2022 Quality Assurance Reporting Requirements 2 0 obj PDF Guide to HEDIS Measures MY 2022 0000021981 00000 n CMS released the Plan Year 2023 Nationwide Quality Rating System Public Use File (PUF) (ZIP) to outline underlying measure data as well as star ratings for all eligible Qualified Health Plan (QHP) issuers, operating in all Exchange types, that received QRS star ratings for Plan Year 2023. Measures Reported UsingElectronic Clinical Data Systems. 1067 0 obj <> endobj The technical specifications for organizations providing Medicaid long-term services and supports (LTSS). Wellcare dng cookie. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Thismeasurewillallowplanstounderstandifadvancecareplanningisprovidedtobeneficiarieswhoaremostlikelytobenefitfromit. endstream endobj 30 0 obj <>stream An official website of the United States government 0000044978 00000 n Height, weight, BMI percentile (use Z68.51-Z68.54) and nutrition (97802, 97803, 97804) and physical activity counseling (Z02.5, Z71.82) Lead Screening in Children: PDF 2022 Hedis (Measurement Year) Medicaid Reference Sheet %PDF-1.7 Individual HEDIS Measures Sheets. 0000035489 00000 n HEDIS 2022: See What's New, What's Changed and What's Retired Rhode Island Medicaid Managed Care Page 48 of 69 2021 External Quality Review Technical Report . t,f`$yF;zXytHo. %%EOF DL U `j@ +Y&F] S-ppo>8w4Dg`` C endstream endobj 33 0 obj <>stream User may need additional software to use the Product, and NCQA is not responsible for such additional software. NCQAplanstoexpandtheraceandethnicitystratificationstoadditionalHEDISmeasuresoverseveralyearstohelpreducedisparitiesincareamongpatientpopulations. Experience of Care. HEDIS survey measures and standardized surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program. 0000004794 00000 n SNPs can use HEDIS performance data to identify opportunities for improvement, monitor the success of quality improvement initiatives, track improvement and provide a set of measurement standards that allow comparison with other plans. Measurement Year 2020 UHCCP-RI 2022 CAHPS Measurement Year 2021 Quality Compass Measurement Year 2021 National Medicaid Benchmark (Met/Exceeded) Quality Compass Measurement Year 2021 National Medicaid Mean Rating of Health Plan1 86.6% 92.4% 86.8% 50th 86.48% Rating of All Health Care 95.0% 88.4% Small Sample Not Applicable 87.34% Rates for the HEDIS measures were compared to corresponding Medicaid percentiles; comparison results are provided in the tables. 0000008673 00000 n o GRs_$ [EN=_sRs 1F/T ? NCQAisretiringthefollowingmeasures/indicators: Formoreinformation,refertothefullmeasurespecificationsinHEDISMY2022Volume 2:Technical Specifications for HealthPlans. Secure .gov websites use HTTPSA 0000010811 00000 n You will be prompted to log in to your NCQA account. 0000004219 00000 n PDF Measure Name Abbreviation Measure Description EFFECTIVENESS OF CARE SNPs have reported the following measures since HEDIS Measurement Year (MY) 2016: Please see the link below for the most recent SNP HEDIS Performance Report. QLeRQ~{?$u>%)G7,]m?oaS`AD>O)>fC*b9Zj #b&=c;m4lYVy7&>c)|5+Z7Sw 3tUfQ|x]zZ>!B2P10d@9>UE*EE$6PZtegv:(J5#,ojt1mGL+9AYdeQ4ec`"omT2%^(_&/>~8_+7F]e*}1b>(Q}\4t0 Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through My NCQA. PDF 2023 HEDIS Measures - McLaren Health Plan ThisclinicaltopicisnowaddressedinthenewAdvanceCarePlanningmeasure. PDF 2022 Star Ratings Fact Sheet To learn more. Clinical Quality Measures | Health.mil - Military Health System We dont take HEDIS updates and changes lightly: Measure development and updates follow a rigorous process that includes a public comment period and input from advisory panels. NCQAwillconcentrateeffortsontheoutcome-basedHbA1cControlforPatientsWithDiabetesmeasure. CPT: 87070, 87071, 87081, 87430, 87650-87652, 87880 HEDIS Tip Sheet - Pediatric Measures Key HEDIS Factors to Consider startxref CJ)8kPqQy!h\ADICp%F$NhG-EL'nU%mQ*1HPl. endstream endobj 31 0 obj <>stream 0000002321 00000 n 0000015971 00000 n This process ensures that HEDIS measures remain relevant and feasible for implementation. Members can access the latest news about measuring performance and gain insight into how HEDIS evolves. Health Plan Descriptive Information. For MY 2022, HEDIS added three new measures, retired three measures/indicators and changed seven existing measures and two cross-cutting topics that address enhancements across multiple measures. HEDIS Measures and Technical Resources - NCQA Immunization Schedules. PDF Rhode Island Medicaid Managed Care Program Tufts Health Public Plan Recognizing that HEDIS measures have traditionally been specified for health plan reporting, NCQA developed the Rules for Allowable Adjustment of HEDIS to accommodate the application of HEDIS measures to various levels of the health care system for quality improvement initiatives. inappropriate prescribing for upper respiratory infections, pharyngitis and acute bronchitis. VA has utilized data from NCQA's Quality Compass to establish regional averages for hospitals that fall within geographic boundaries that match areas covered by Veterans Integrated Service Networks (VISN). 9 0 obj hbbd``b`$ $$zAm b1["A)@"|)k$@@Bv5#JQ' [@ Auditsprotect results validity and reliability. For more information regarding future quality measure consideration and selection, please visit Measure Selection | CMS MMS Hub. 1311 0 obj <>stream CMS Measures Inventory | CMS - Centers for Medicare & Medicaid Services We do not share your information with third parties. 0000008074 00000 n In January to May of 2023, data for 2022 continues to be submitted along with Medical Record review for Hybrid measures and final HEDIS 2022 rates and results are reported. %PDF-1.6 % Overview of the HEDIS measurement set and how the data are used. 0000004757 00000 n stream ElectronicClinicalDataSystem(ECDS)Reporting. QARR List of Required Measures (Table 1) lists by product the measures required for submission. hb```@(1iNlpiK Y_LjV_0`II:~|=0f8+~'8eW!Izw(I~>rIq9NM>8>N7*ksO6Qg4h%&. ). PDF Rhode Island Medicaid Managed Care Program Neighborhood Health Plan of from January to May for the prior year. 0000011393 00000 n xPX]NG&)R.ng} (1$JMYpwV:] HEDIS CHEAT SHEET 2022 - 2023 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Documented yearly for ages 3-17. CMS contracts with NCQA to collect Healthcare Effectiveness Data and Information Set (HEDIS) measures from Medicare Special Need Plans (SNPs). Data from the 2020 measurement period (2022 Star Ratings) help us understand how the PHE impacted the care delivery system. To learn more, click here for a discussion of this new measure. Quality Compass 2023 Commercial-Trended Data (MY 2022, MY 2021, MY 2020) As low as $7,690.25. 0000017889 00000 n %PDF-1.7 % akJ9d&'(o,N|cV& }3~_UEiP performance. <<1EA954AB0783464B894F5E09E2AC546B>]/Prev 295107/XRefStm 1946>> 0000021716 00000 n . G-3245 Beecher Road Flint, Michigan 48532 0000017803 00000 n HEDIS MY 2022 includes 96 measures across 6 domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems Most measure score changes between the 2022 and 2023 Star Ratings were small overall in both directions. In these cases, age stratifications will differ from HEDIS MY 2021 technical specifications. xKK@ { a;;:/DCXlcf_YB^Q(przeq0)# 0y,-h6-2Y=Vf]+[eq[&ge1heucd;)CzGE"z&D%z`SS?I1ZOFb ?=xb =WV!Nfvb)e:R '$t^OWoM9o{$)GlCeSkftDJbR2$n{Y4O}0m$&pmT|yQ;x/8Z$[G@MY?mcwo;oN:p2 0000016906 00000 n Outpatient Compare Data | Veterans Affairs hUYk@+R=`;Q&8[[Ewfq= F$\ S4x2$ !\DDFk-bG,"imAsL]KA$D1UdlG:ibkz3OvDn svD~0${xH4XMs\x-'IkMg51za#A3h!7O,-0Yn "71*~sK(_~KutedF},&KVL}Ve>Yj`SQC}OWpt\c7Ij][ K=[> endstream %%EOF 0000047019 00000 n HSn0+THK[iF(P=2@oA.kY"cL@YG6u}(K]*-50 j"1J0B(E$akG) 1 0 obj This process ensures that HEDIS measures remain relevant and feasible for implementation. (7/1/prior yr. - 6/30/measurement year). HEDIS Tip Sheet - Pediatric Measures -Look back period: July 1 of the year prior to June 30 of the measurement year. endobj 0000011969 00000 n HEDIS Measures HEDIS includes more than 90 measures across 6 domains of care: Effectiveness of Care. (Example: COL, BCS measures). B. Quantifiable Measures. 0 PDF HEDIS Quick Reference Guide Thismeasurehas beenretired. Several clinical guidelinesrecommend deprescribing benzodiazepinesslowlyandsafely, rather thanstopping use immediately,tominimizewithdrawalsymptomsandimprovepatientoutcomes. 4940 0 obj <>/Filter/FlateDecode/ID[]/Index[4920 31]/Info 4919 0 R/Length 102/Prev 502761/Root 4921 0 R/Size 4951/Type/XRef/W[1 3 1]>>stream Anticipated Release Date: September 2023. . Effective 2022, the Promise VIP Program is now called Promise Quality Performance Incentive (PQPI). 0000003369 00000 n Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status. AntibioticUtilizationforRespiratoryConditions. HTn0*hk!4J[&5i7Y%I yf That makes HEDIS one of health cares most widely used performance improvement tools. TABLE 1: 2022 VBP LIST OF REQUIRED MEASURES - Required to Report NA - Not Applicable to the Arrangement Shading - Purple- Not required to be reported 1 - There are no reporting requirements for this measure. Laboratory Benefit Management. HEDIS Technical Specifications include a complete list of new and updated HEDIS measures with instructions on data collection and guidelines for calculations and sampling. <> Anticipated Release Date: September 2023. endstream endobj startxref 2022 MEDICAID HEDIS REFERENCE SHEET FOR PROVIDERS 3 PEDIATRIC HEDIS MEASURES HEDIS MEASURE AGE MEASURE DESCRIPTION BILLING CODES WELL-VISIT Well Child Visits 0-30 Months of Life (W30) 0-30 months Telehealth exclusion removed. Sorry, this page could not be found. | Wellcare x Updated Guideline 7: Measurement Period Adjustments. %PDF-1.7 % More than 200 million people are enrolled in plans that report HEDIS results. New digital measures reduce the burden of reporting quality results. 0000005411 00000 n We do not share your information with third parties. Currently, HEDIS consists of 90 different measures across six domains of care: Effectiveness of Care Access/Availability of Care Experience of Care Utilization and Risk Adjusted Utilization Health Plan Descriptive Information Measures Reported Using Electronic Clinical Data Systems PDF HEDIS SPECIFICATION OVERVIEW 2021 - Cigna HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). AdvanceCarePlanningIndicator. NCQA > HEDIS MY 2023 Risk Adjustment Tables The Centers for Medicare & Medicaid Services (CMS) uses a five- Diabetes blood sugar control Diabetes kidney function Discharge medication reconciliation Osteoporosis management Cardiovascular disease statin management Breast cancer screening Medication review Pain screening Colorectal cancer screening Controlling high blood pressure <> Optum Managed Transplant Program. Advancecareplanningisassociatedwithimprovedqualityoflife,increasedprovidertrustanddecreasedhospitalization. 0000006215 00000 n

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