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Our Business
Xerox Introduces Advanced
Health Risk Assessments
Continued from cover.
Addressing the mandate for quality outcomes
and better coordination of care requires
Health Risk Assessments (HRAs) that establish
a comprehensive view of the individual, create
a healthcare itinerary and help members
navigate through the healthcare journey.
Armed with this information, programs can
better direct resources where they’re needed
and implement timely interventions to avoid
long-term clinical and financial issues.
The new Care Integration Services group at
Xerox delivers this new approach to HRAs,
offering several advantages to Medicaid
programs, especially those using managed
care organizations (MCOs) to deliver services.
These HRAs aggregate health, lifestyle and
behavioral data and cross-reference them
against condition profiles. This not only
provides a clearer picture of the member, but
also connects members with resources outside
the scope of MCOs – including immediate
consultation with the right health specialists.
More State Control
Our HRA solution places control of the
assessment and the information it generates
with the state. With the data centralized,
Medicaid programs have immediate access to
the big picture of their members’ health. They
have the ability to track members’ conditions
as they move throughout the Medicaid
system and avoid information gaps that
could lead to less effective care plans. They’re
also given the analytical capability to observe
what’s happening at the population-wide
level and determine the appropriate course of
action. This centralization makes it possible to
track long-term changes – the kind of analysis
that better detects potential high-risk health
issues. It also enables the state to see which
MCOs are most effective at treating
particular conditions.
This approach to HRAs helps states more
actively guide their program goals and gives
them more control over how these goals
are achieved. Each Medicaid program can
improve access, quality and outcomes – all
while controlling costs. Each program can
determine specific objectives and care
strategies (such as lowering rates of diabetes,
lowering stroke risk or encouraging healthier
pregnancies) from the start. These objectives
and strategies are then used to drive the
benchmarks of the HRA delivery system,
ensuring that the assessment consistently
gathers all relevant information – whether
clinical or socioeconomic. Because the state
can connect members with social services
that an MCO can’t, our HRA method enables
Medicaid programs to develop care strategies
according to a whole-person view.
Personalized Assessment
Successful healthcare programs are adept at
treating health issues effectively. That takes a
certain amount of personalization, developing
specific treatment plans rather than “checking
a box” and applying the same approach to
all conditions. To meet a program’s goals
effectively, HRAs must account for the many
differences between individuals – especially
when collecting information about chronic
conditions that can vary widely in severity.
Xerox does not use a “one size fits all”
approach. We enable programs to get to know
the member and have a meaningful one-on-
one interaction. Medical professionals conduct
the member outreach and assessment. They
lead with a personal touch, explaining the
benefits of the programs in which the member
has enrolled and answering any member
questions before conducting the assessment.
This creates a dynamic conversation that
encourages members to open up about their
conditions and provide better information.
Each assessment garners more complete
information to drive optimum interventions
and accurate risk stratifications.
Our assessments are unique in that they don’t
follow a strict script. While there are standard
questions, our solution generates followups
based on the member’s responses that are
attuned to medical, social and other factors.
This personalized approach pulls more details
from members and coaches them to provide
in-depth background on their condition. It also
bypasses irrelevant questions that could take
up valuable time for the member and
the program.
