In this section, you’ll find:
• Ways office staff can improve Star ratings
• Patient resources guide
Actions listed below can improve patient perception which is measured by CAHPS. Click HERE for a list of CAHPS measures.
Star Measure Partners
Nurses answer patient benefit questions.
Cigna Healthcare Information Line and Member Assistance Program
A Nurse Advocate answers medical and prescription drug questions or directs to the appropriate provider.
Cigna Healthcare Care Management Team
A dedicated Care Manager helps coordinate care, review medication, and find community resources and education.
Telehealth (MDLive)
Providers provide one-on-one nonemergency care when a doctor is not available.
Cigna Healthcare Behavioral Health Services
Help with issues such as depression, anxiety, or substance use.
Administrative follow up
Connect to local HIE to receive Admit, Discharge, and Transfer (ADT) information on your patients. Arcadia provides ADT information through authorization data and some HIE connections.
Use Cigna Healthcare Stars reporting and PCR Chase List to identify discharged patients who may need intervention.
Schedule follow-up visits via in-office or telehealth appointments within seven days of all discharges.
Ensure that you have received discharge information prior to follow-up appointments.
Create a standardized timeline and process for post-discharge outreach.
Keep track of your most vulnerable patients and establish a relationship through consistent outreach.