Report Fraud

Quality Monitoring

 GOALS OF HEALTHY CONNECTIONS PRIME

  • Improve health outcomes
  • Reduce avoidable emergency department visits and hospital readmissions
  • Continued emphasis on delaying the need for nursing facility care by increasing access to home and community-based services

QUALITY MONITORING

To identify whether the goals of Healthy Connections Prime are being met, CICOs are required to report measures that examine:

  • Access to and availability of care;
  • Care coordination/transitions;
  • Health and well-being;
  • Utilization of behavioral health services;
  • Beneficiary/caregiver experience;
  • Screening and prevention; and
  • Quality of life for beneficiaries.

 

Back to Top