Mobile App Calculates Consumer Health Score Using FHIR Resources
Summary
For the most part diagnoses drive the health score and many enrollees are unaware of or not managing conditions that have been coded as associated to them in their claims data. Medicare enrollees may also share their data with Part D drug plans, Medicare supplement plans, life insurance agents, pharmacies, second opinion providers, emergency departments, urgent cares, primary care providers, specialists, ACOs, PACE programs or surgery pre-certification programs that are using the Health Endeavors’ Application Program Interface (API) for various purposes such as picking a Part D drug plan or retrieving a consumer’s health history when a patient presents to the emergency room or for surgery. For providers in value-based programs, the data is shared by the consumer, analyzed and put in an actionable format at the point of care. “We need to get actionable data to both the consumer and provider team to be successful in value-based care programs,” Kris Gates, CEO, Health Endeavors. Health Endeavors is one of the largest providers of technology services to Medicare Accountable Care Organizations (ACOs) with an analytics and quality metrics platform.