When considering health risks for health plan members, osteoporosis shouldn't be left out of the conversation. Osteoporosis is a common disabling disease, which is responsible for two million broken bones in Americans and $19 billion each year in related costs. These facts and others are why MedXM recommends regular Osteoporosis Screenings for health plan members.
An estimated 54 million Americans have low bone mass, which puts them at an increased risk for having osteoporosis. Not having a screening strategy to detect the members at risk, places health care providers and their members at risk for future fractures and health care costs. These costs could be avoided through prevention, which can be accomplished with regular screenings. Figures show an estimated one in two women and one in four men over 50 years of age, will break a bone due to osteoporosis. Understanding the demographics of your membership base, helps determine the predictive risk involved by not providing osteoporosis screenings.
Over the past 25-years, MedXM has partnered with health plans to create effective strategies which engage and connect high risk or non-adherent members. Based on our outreach expertise, MedXM has been successful in motivating and inspiring members to initiate osteoporosis screenings with our national network of physicians and nurse practitioners through education, prevention, and early detection.
MedXM recommends a Bone Mineral Density test for females over 65 years old, who've recently had a fracture or fall. The BMD tests can identify osteoporosis and then determine what risk is involved for further fractures. Also, the BMD test is a good way to measure response to osteoporosis treatment. Identifying this common disease goes a long way in the prevention of accidents, where painful and costly fractures occur.
Osteoporosis often times goes unnoticed, but another danger in older members having an accident and suffering a fracture due to osteoporosis, is that it leads to even more serious problems. Fractures can cause significant disabilities and even death, from the complications involved in the accident and the resulting aftermath. Sometimes, the accident can happen to a relatively healthy older person, but afterwards with other complications involved they're never the same.
By offering regular osteoporosis screenings, health care providers can improve their quality star ratings relating to osteoporosis screenings. Achieving 5 stars for osteoporosis screenings historically is a problematic area for health care providers. This is largely because of the challenges of providing timely screenings within the allotted six months time required after a fracture or fall. MedXM can help boost quality scores with the effective, proven measures we've learned to employ over the years.
These measures include:
- Member identification by the plan using authorization or concurrent data for admissions related to fractures.
- The plan then notifies MedXM quickly to arrange a BMD test in-home, in a MedXM retail clinic, or in a skilled nursing facility.
- MedXM customer care coordinator calls the member to explain the importance of the test and how quick, painless, convenient, and simple the procedure is.
- A skilled technician then performs the osteoporosis screening with a heel ultrasound.
- The results and billing codes are sent to the health care plan and the PCP for any needed follow-up.
MedXM has found over the years of performing the BMD test in-home or at our retail clinic locations, that health plans have improved their star ratings for osteoporosis by 150%!
Osteoporosis shouldn't be taken lightly by health care providers or their members. MedXM has the experience and technical expertise to bring education, prevention, and early detection to this debilitating disease which affects millions of Americans. In order to improve membership engagement, cost savings, and quality star ratings, MedXM offers a high quality solution. Please Contact us for more information.