- ExamOne

MediCheck™
Look
deeper.
Proactive health risk analysis that
gets to the source of actionable data.
Data Collection
Risk Detection
Health Connection
MediCheck, a service provided by
ExamOne, leverages leading industry
capabilities to deliver robust specimen
collection alongside data capture
and analysis. MediCheck removes
the guesswork in member health data,
enabling greater specificity and
clinical substantiation to improve
health documentation.
Health plans can’t rely on an overburdened
provider network to dictate the quality of data
and assessments that impact their scores and
ratings. The plans that are able to clearly document
a process that shows improvement in the health
of their members—as well as satisfaction—will
be in the best position to maintain ratings that
attract consumers.
By leveraging a turnkey approach to health risk
assessments (HRA), MediCheck puts health plans in
control of the data collection process at the center
of compliance, claims, and member satisfaction.
Accurate data puts uncertainty about conditions to
rest. It puts the focus back on improving member
outcomes. Health plans that can own that data will
lead the way in the years to come.
Critical to being competitive in this environment
is developing a process to capture and document
member data before busy enrollment periods
demand it.
Your 5-step plan to improve outcomes and profitability
Uncover the measures that matter
Accurate medical histories are at
the mercy of member memory and
access to data. Traditional surveys
often fail to uncover health issues
before the clinical encounter. They
uncover far less when they are done at
the time of the primary assessment.
Engage the member at home
In-home evaluations engage members
that lack mobility or have difficulty
reaching providers. By eliminating
some of the barriers to care, health
plans can put more focus on the issues
that impact member satisfaction
ratings.
Target healthy outcomes
Targeted information is at the heart of
helping members change behavior and
strive towards health.
MediCheck™ utilizes existing ExamOne
services to enhance the health
information workflow by collecting a
complete background prior to the
in-person assessment.
Only MediCheck™ offers a turnkey
approach to the entire assessment
screening, beginning with a
comprehensive set of background
materials on each member, a telephone
One of the first gaps health plans
attempt to fill in improving overall
ratings is at the data collection level
where greater specificity and clinical
substantiation can improve claims
submission and coding.
Connect members with
doctors and care managers
Improvements in health outcomes
begin with the insight from an
accurate assessment, but they end
with the patient’s participation in
ongoing care.
Collected by our mobile phlebotomy
unit, the MediCheck™ Lab brings focus
around cardiovascular, cerebrovascular,
metabolic/diabetes, renal, liver,
hematologic and more through a full
panel of laboratory tests which include
important HEDIS measures.
Utilizing ExamOne’s network of licensed
nurse practitioners, MediCheck™ can
complete a full in-home health risk
assessment anywhere in the country,
completing the crucial link between
exhaustive background research and an
in-home clinical evaluation.
Nurse practitioners meet with members
1:1 in their own home to gain a deeper
evaluation of health risks and wellness
education. The result is an unparalleled
ability of a health plan to identify
potential disease states and address gaps
in care.
With a complete laboratory panel and
enhanced health risk assessment,
members have complete documentation
to follow-up with a primary care provider.
based on the data uncovered in your
collective assessments.
As a health plan, you also have the
information to target health issues and
provide additional encouragement
Harvest and use the data
interview, mobile lab visit with specimen
collection and an extensive prescription
drug records check.
ExamOne’s advanced analytics have
allowed many of our customers to
interpret insurance laboratory data and
more precisely assess the health risks of
individuals.
MediCheck™ takes the guesswork out of
this process by quickly identifying and
applying changes in our data collection to
ensure compliance.
MediCheck™ connects the data from
each stage of health risk assessment
and produces a complete report for the
member, primary care provider, and
health plan.
Documenting conditions and identifying
gaps in care becomes a manageable
The data set that comes back from
complete health assessments provides
additional documentation and
substantiation for your care planning and
wellness services.
Our full laboratory panels meet HEDIS
requirements, but the resulting evaluation
dataset, which contains enhanced
documentation and integration with your
own reporting systems, gives you greater
confidence in your audit preparations and
risk adjustment programs.
process and members receive targeted
recommendations for local support
services.
Follow-up from the same licensed
nurse practitioners who conducted their
assessment helps increase the likelihood
of participation in care plans.
HEALTH CONNECTION
RISK DETECTION
DATA COLLECTION
The MediCheck™ suite of products
Screening by an industry
leading call center
to document baseline
health conditions
In-home or lab-based
biometric screening by the
industry’s largest and most
professional mobile lab
Access to 5 years of
prescription drug history
MediCheck™
Outreach
MediCheck™
Lab
MediCheck™
Script
Member
Insights
Access to comprehensive
historical lab data
In-home healthy lifestyle
coaching and assessments
and reporting to personal
physicians and plans
Digital tools to integrate
big data into reporting
and analysis
MediCheck™
History
MediCheck™
Connect
MediCheck™
Insights
MediCheck™ is a dedicated data
collection system for health plans
to control the health risk assessment
process. By utilizing an industry
leading health outreach team,
MediCheck closes gaps in data
collection, health history, member
education, and reporting.
4 DATA COLLECTION
4 RISK DETECTION
4 HEALTH CONNECTION
Meet quality goals.
Improve member satisfaction.
Change lives.
The MediCheck suite of products includes:
MediCheck™ Outreach
MediCheck™ Script
MediCheck™ Connect
Initial member health information
gathered from trained industry
call center experts to document
baseline member health conditions
and identify gaps for follow up prior
to biometrics screening.
Access to five years of prescription
data through exclusive
partnerships with the largest
Pharmacy Benefit Management
companies in the country give a
comprehensive view of long-term
conditions.*
In-home assessments conducted
in partnership with the health
plans payment teams to provide
a prospective assessment for risk
adjustment, as well as healthy
lifestyle coaching.
MediCheck™ Lab
In-home or lab-based biometrics
screening and specimen collection
by ExamOne’s trained team of
mobile paramedical professionals,
which is the largest outreach team
of its kind in the country.
™
MediCheck History
Access to three years of historical
lab data provides insight into a
member’s health history.*
*available with member consent
MediCheck™ Insights
Actionable insights reported back
to the plan and primary physician.
For more information call 855-324-7468
or email MediCheck@ExamOne.com.
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All third party marks - ® and ™ - are the property of their respective owners. © 2015 Quest Diagnostics Incorporated. All rights reserved. 03/2015