Learn more about our fall Quality initiatives

Throughout the year, our Quality team works alongside you to help close care gaps and improve health outcomes for our Medicare and Medicaid members. This fall, they’ll be conducting outreach to select members and providers for the following initiatives: 

Let’s Get Checked (LGC)

The Let’s Get Checked campaign sends at home tests kits to your Priority Health Medicare and Medicaid patients in need of certain screenings to help close care gaps. This year, our Medicaid LGC initiative will focus on lead screenings, while our Medicare LGC initiative will focus on A1c and colorectal cancer screenings.

Exact Sciences

The Exact Sciences campaign also targets colorectal cancer screening care gaps. This program was piloted last year in addition to LGC’s colorectal cancer screenings to help gauge member participation in LGC’s annual testing versus Exact Science’s Cologuard® test, which is only needed every three years. Patients who return their LGC or Exact Sciences test kits by December 31, 2024, will count toward providers’ 2024 PCP Incentive Program (PIP) participation.

What’s the difference between Exact Sciences and LGC colorectal cancer screenings?

Test	Description	Occurrence	Results
Exact Sciences Cologuard® test	This test screens for colon cancer and DNA markers that could indicate colon cancer.	A Cologuard test is needed once every 3 years.	Exact Sciences mails results directly to you and your patients. Your patients who test positive will also receive a phone call.
LGC fecal immunochemical test (FIT)	This test only screens for colon cancer.	An FIT test is needed annually.	LGC results are distributed to ACNs monthly by the Provider Strategy & Solutions (PSS) team. Your patients will receive results via mail, and those who test positive will also receive a phone call.

 

OMW reports to help assess osteoporosis in your female Medicare patients

Beginning in September, we’ll be sending ACNs monthly reports to help close care gaps for the Osteoporosis Management in Women Who Had a Fracture (OMW) measure. The OMW measure helps identify and manage osteoporosis in your female Medicare patients who recently suffered a fracture. Find more information here.

Shaping our 2025 quality programs with our annual Patient care and coordination survey

Our 2024 Patient care and coordination survey kicks off in September. We’ll be contacting select providers via email to request your participation in a brief survey to help us better understand how you coordinate care for your patients, our members. The results of this survey allow us to tailor our 2025 Quality programs to the needs of our members and our providers. We encourage you to participate and share your feedback.

Supporting your Medicaid patients with HIV

Our Medicaid Quality team created a member education resource for your Priority Health Medicaid patients diagnosed with HIV. This resource will be sent to select providers via email and helps to educate patients on things like finding a provider, Priority Health care management services, transportation assistance and more.

Raising awareness of falls prevention

We’ll be emailing primary care providers to offer falls prevention resources and encourage them to join us September 23-28 in raising awareness for Falls Prevention Week, a nationwide health campaign that aims to decrease fall risks and improve the long-term health of patients through education and injury prevention. Learn more about our programs that support fall risk prevention.

Want more information on these campaigns and more?

 Join us on August 29 at noon for our Q4 Quality campaigns VOA.