An end-to-end health risk assessment solution to drive superior member experience and Star Ratings
Health Risk Assessment (HRA) is mandated by the Centers for Medicare and Medicaid Services (CMS) for Medicare-Medicaid plans and specific Special Needs Plans (SNP). In addition, Annual Wellness Visits are required by regulation to provide members with personalized preventive plans, taking into consideration HRA surveys.
A large proportion of Star Ratings on Medicare Advantage Plans are based on member experience. HRA surveys are the bridge between member experience and health plan performance. Improving survey completion rates is the foundation for improving member experience and Star Ratings.
However, completing HRA surveys is challenging and time-consuming. Wipro understands these challenges and has solution levers in place to address them:
Wipro also has HRA360, an end-to-end Member HRA, and Member Engagement system. Integrated with the existing Member 360 and Encounter Data Processing System (EDPS), HRA360 helps identify potentially high-risk populations that need immediate attention. HRA360 is built on a tracking process designed to successfully complete pre-enrollment and post-enrollment HRA assessments.
Wipro has extensive experience handling HRA activities. Clients using our solutions have experienced the following: