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Tsis txhob nco qhov hloov tshiab. Sau npe kom tau txais xov xwm Alliance tus kws kho mob.

Tus Muab Kev Digest | Qhov teeb meem 16

Tus neeg muab kev pabcuam Icon

Tsis txhob hnov qab cov hnub no: Kev Saib Xyuas Raws Li Kev Txhawb Nqa, cov ntaub ntawv txheeb xyuas qhov tseeb

2023 DHCS ntsib cov ntaub ntawv pov thawj kev kuaj xyuas

Pib txij Lub Ob Hlis 1, 2023, Pawg Kws Pab Tswv Yim Pabcuam Kev Noj Qab Haus Huv (HSAG) tab tom ua lawv lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) txhua xyoo ntsib cov ntaub ntawv (kev thov) kev tshuaj xyuas.

Lub sijhawm tshawb xyuas yog Lub Ib Hlis 1-Lub Kaum Ob Hlis. Peb Hlis 31, 2021. Thaum lub sijhawm kuaj xyuas, HSAG yuav nrhiav kev ntsib cov ntaub ntawv tiav thiab raug los ntawm kev tshuaj xyuas cov ntaub ntawv kho mob.

Lub Alliance yuav pib hu rau cov chaw muab kev pabcuam kom thov cov ntaub ntawv khomob thaum pib Lub Ob Hlis.

Cov kws kho mob yuav tsum xa cov ntaub ntawv kho mob hauv qab no:

  • HSAG yuav xaiv ib hnub ntawm kev pabcuam (DOS) hauv lub sijhawm kawm. Cov kws kho mob yuav tsum xa cov ntaub ntawv kho mob rau DOS ntawd.
  • Cov kws kho mob yuav tsum xaiv DOS thib ob ze tshaj rau tus qauv DOS, nrog tib tus kws kho mob thaum ua tau, thiab xa cov ntaub ntawv kho mob ntawd.

Nco tseg: Qhov kev tshuaj xyuas no yuav tshwm sim ib txhij nrog Kev Tshawb Fawb Txog Kev Noj Qab Haus Huv Cov Ntaub Ntawv Qhia Txog Qhov Teeb Meem (HEDIS). Qhov no txhais tau hais tias cov chaw kho mob yuav tau txais ntau daim ntawv thov kev kho mob los ntawm Alliance. Txawm li cas los xij, cov qauv pej xeem thiab lub sijhawm tshuaj xyuas yuav txawv. Peb ua tsaug rau koj lub sijhawm ua haujlwm thiab kev koom tes hauv kev xa cov ntaub ntawv thov!

Cov kev coj ua zoo tshaj plaws:

  • Peb thov kom tag nrho cov ntaub ntawv kho mob rov qab nyob rau hauv 5-7 hnub ua hauj lwm ntawm qhov kev thov.
  • Rau cov ntawv kos duab, thov siv lub cim kos npe ntawm tus kws kho mob ib sab ntawm tus kws kho mob kos npe.

Puas muaj lus nug?

Yog tias koj muaj lus nug txog HSAG ntsib cov ntaub ntawv txheeb xyuas qhov tseeb, thov xa email rau peb ntawm [email protected].

Lub Ob Hlis 15 lub rooj sib tham tawm tswv yim: cov lus pom zoo rau CBI, Chaw Pabcuam Portal

Cov chaw zov me nyuam, cov thawj coj hauv chaw ua haujlwm thiab cov neeg ua haujlwm txhim kho kom zoo, koj xav tau kev tawm tswv yim! Koom nrog peb rau kev tshuaj xyuas cov lus pom zoo rau cov Care-Based Incentive Program thiab Kws Kho Mob Lub Chaw Tswj Xyuas Tswvcuab Cov Ntaub Ntawv rau 2024.

Hnub Wednesday, Lub Ob Hlis 15, 2023
tav su-1 teev tsaus ntuj ntawm Microsoft Teams (online)
Sau npe

Cov neeg hais lus muaj xws li:

  • Alliance Medical Director Dr. Dianna Diallo.
  • Alliance Quality Improvement Program Advisor Alex Sanchez, MPH.

Koj cov tswv yim yog qhov tseem ceeb rau CBI kev vam meej thiab peb ua tsaug rau koj rau kev qhia koj qhov kev nkag siab thiab cov tswv yim nrog peb.

Hauv kev sib tham, peb yuav tham txog:

  • Dab tsi yog nyob zoo ib yam hauv 2024.
  • Npaj cov kev ntsuas tshiab.
  • Cov kev ntsuas rau kev so haujlwm.
  • Thov kev txhim kho rau Tus Muab Kev Pabcuam Portal.

Sau npe rau qhov kev tshwm sim online lossis hu rau koj Tus Neeg Sawv Cev Pabcuam Alliance ntawm 800-700-3874, ext. 5504 ib.

Yog tias koj muaj lus nug txog CBI program, thov email rau peb ntawm [email protected].

Xa 2022 CBI cov ntaub ntawv los ntawm Lub Ob Hlis 28

Hnub kawg tab tom tuaj txog! Thov xa koj 2022 Care-Based Incentive (CBI) cov ntaub ntawv los ntawm Lub Ob Hlis 28, 2023. Cov Ntaub Ntawv Xa Khoom (DST) muaj nyob rau ntawm Alliance's Provider Portal nyob rau hauv "Cov ntaub ntawv xa tawm." Cov cuab yeej no tso cai rau cov kws kho mob xa cov ntaub ntawv los ntawm cov ntaub ntawv kho mob hluav taws xob thiab cov ntaub ntawv sau tseg kom tsim nyog rau CBI thiab HEDIS ntsuas.

Kev ntsuas koj tuaj yeem xa cov ntaub ntawv rau suav nrog:

  • Kev Cuam Tshuam Kev Cuam Tshuam Kev Cuam Tshuam thiab Kev Sib Tham.
  • Kev Ntsuas BMI: Cov Me Nyuam thiab Cov Hluas.
  • Kev kuaj mob qog noj ntshav mis (kev tshuaj ntsuam thiab mastectomies).
  • Cervical Cancer Screening (pap and HPV screening and hysterectomies).
  • Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas (0-21 xyoos).
  • Kev kuaj mob chlamydia hauv cov poj niam.
  • Kev kuaj mob qog nqaij hlav hauv plab (DST hom tshiab rau kev xa).
  • Tswj ntshav siab.
  • Kev tshuaj ntsuam kev loj hlob hauv thawj 3 xyoos.
  • Mob ntshav qab zib HbA1c Tsis Zoo Tswj> 9%.
  • Kev siv Dental Fluoride Varnish.
  • Kev txhaj tshuaj: Cov neeg laus.
  • Kev txhaj tshuaj: Cov tub ntxhais hluas.
  • Kev txhaj tshuaj: Cov me nyuam (Combo 10).
  • Kev ntsuas kev noj qab haus huv thawj zaug.
  • Kev Ntsuam Xyuas Txog Kev Nyuaj Siab thiab Kev Npaj Ua Ntej (DST hom tshiab rau kev xa tawm).
  • Kev siv dej cawv tsis zoo rau cov hluas thiab cov neeg laus.

Kev txhaj tshuaj tiv thaiv COVID-19

Lub Alliance tab tom lees txais daim ntawv txhaj tshuaj tiv thaiv COVID-19 los ntawm DST siv cov ntaub ntawv txhaj tshuaj tiv thaiv kab mob thiab hom kev sim. Cov ntawv xa tuaj yuav suav nrog hauv Daim Ntawv Qhia Txog Qhov Zoo ntawm Tus Muab Kev Pabcuam Portal.

Cov lus qhia rau kev xa ntawv ua tiav

  • Yog tias koj cov ntaub ntawv yav dhau los raug tsis lees paub: thov tshuaj xyuas qhov laj thawj ntawm kev tsis lees paub thiab xa rov qab tom qab kho. Yog tias koj muaj lus nug txog vim li cas cov ntaub ntawv raug tsis lees paub, thov hu rau koj Tus Neeg Saib Xyuas Kev Sib Raug Zoo ntawm 800-700-3874, ext. 5504 ib.
  • Rau cov lus qhia step-by-step ntawm yuav ua li cas thiab dab tsi upload rau txhua qhov kev ntsuas: Tshawb xyuas cov ntaub ntawv xa cov cuab yeej qhia hauv Cov Chaw Pabcuam Portal. Yog tias koj muaj lus nug txog DST, thov email [email protected].

Koj yuav tau txais email lees paub hauv ib hnub ua haujlwm ntawm koj cov ntaub ntawv xa tawm.

Xa cov ntaub ntawv kuaj mob qog nqaij hlav hauv plab 2023

Raws li Lub Ib Hlis 10, 2023, cov kws kho mob tuaj yeem xa cov ntaub ntawv kuaj mob qog nqaij hlav hauv plab los ntawm cov ntaub ntawv xa tawm hauv Alliance Provider Portal. Kev kuaj mob qog nqaij hlav hauv plab yog ib qho kev tshawb nrhiav uas suav nrog hauv peb 2023 Care-Based Incentive program.

Ntsuas piav qhia

Qhov feem pua ntawm cov tswv cuab 45-75 xyoo uas muaj kev tshuaj xyuas tsim nyog rau kev mob qog noj ntshav hauv plab.

Ntsuas cov peev txheej

Thov saib cov 2023 Care-Based Incentive Technical Specifications kom paub meej ntxiv. Cov Daim ntawv qhia txog kev kuaj mob khees xaws mis suav nrog cov kev coj ua zoo tshaj plaws rau kev nce kev tshuaj ntsuam xyuas, coding cov cai thiab cov lus qhia xa cov ntaub ntawv.

Yog tias koj muaj lus nug txog Cov Ntaub Ntawv Xa Khoom, thov email [email protected].

Vim li cas kev kuaj mob qog nqaij hlav hauv plab yog qhov tseem ceeb

Ntawm cov qog nqaij hlav uas cuam tshuam rau txiv neej thiab poj niam, mob qog nqaij hlav hauv plab yog qhov thib ob ua rau tus neeg mob qog noj ntshav hauv Tebchaws Meskas, tab sis nws tsis tas yuav yog. Kev kho mob qog nqaij hlav hauv plab hauv nws qhov ntxov tshaj plaws tuaj yeem ua rau 90 feem pua ntawm kev ciaj sia tom qab tsib xyoos.

Txawm li cas los xij, ntau tshaj li ib feem peb ntawm cov neeg laus 50-75 tsis tau txais kev kuaj pom zoo. Kev kuaj mob qog nqaij hlav hauv plab ntawm cov neeg laus asymptomatic tuaj yeem ntes tau cov polyps ua ntej lawv dhau los ua qog noj ntshav lossis kuaj pom mob qog noj ntshav hauv nws cov theem pib, thaum kho tau zoo tshaj plaws.