Win-win! Ease Administrative Burden While Improving HEDIS Measures and Enhanced Reimbursement

The Ohio AAP and Ohio’s Medicaid Managed Care (MCO) plans will advance practice transformation through evidenced-based education and quality improvement work to improve health outcomes for Ohio’s children. The program will pilot the concept of using claims data to evaluate the effectiveness of population health interventions. The core curriculum will advance the work of the Ohio AAP and Ohio’s MCO initiatives in increasing well visits and immunizations. Additional resources in lead screening, dental care, healthy weight, mental health, depression screening, social determinants of health, and abuse screenings will be provided to practices.

“With proven experience in improving health outcomes across multi-disciplinary interventions and diverse patient populations, Ohio AAP looks forward to developing this program and strengthening our relationship with UnitedHealthcare and other partner Medicaid Managed Care Organizations to improve targeted population health outcomes in key regions in Ohio,” said Melissa Wervey Arnold, Chief Executive Officer.

The project will use data to identify gap counties and work together to determine the practices with a high population of Medicaid patients for this program. Ohio AAP will train several practices across Ohio on how to improve and operationalize HEDIS measures, provide billing for preventative care to reflect improvement in population health, and increase well-visits through reminder/recall and intentional outreach by UnitedHealthcare care coordinators as a foundation to the work.

The program will launch in March 2020. Contact Program Manager, Kristen Fluitt at for more information or if you are interested in participating and earning 50 MOC Part IV points!

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This page is for practice managers and office employees to discuss issues they’re experiencing in their practices. Many problems that we hear about can help other practices, so we invite you to share best practices by posting issues and by responding to issues other practices are experiencing. This page is monitored by the Ohio AAP. Advice and opinions expressed on these discussion boards are the views of the poster and do not necessarily reflect the views of Ohio AAP. If you have any issues, questions, or feedback, please contact Melanie Farkas.