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As kids head back to school and the days grow shorter, we all realize it isn’t quite as warm as it was a few weeks ago. We are deep in the midst of the delta surge of COVID-19 infections. What is different about this wave, versus earlier surges in infection, is that unvaccinated individuals are 49 times more likely to be hospitalized and 32 times more likely to die from COVID than those that are vaccinated.
It is important for program administrators, healthcare providers, and personal caregivers to take vested interest in proactive care towards Medicare and Medicaid members with chronic diseases. Keeping members healthy is beneficial for the entire care team, preventing health complications for members can reduce costly hospital visits for both the member and the program’s payors and providers.
Retaining talent is extremely important for the success of any organization. After a year of working remotely, employees may not be as engaged as they previously were, and the pandemic has completely changed the corporate landscape into an employees’ market. Employees no longer have to fight for positions or accept jobs they don’t love. They now have the flexibility to get a job anywhere in the United States; all they need to do is hop on a Zoom interview from the comfort of their couch, give notice, and they could decide to leave your organization in a matter of days or weeks.
Continually improving member engagement, care, and health outcomes are vital for the success of healthcare providers’ programs. Engaged members lead to reduced hospitalizations, readmissions, and improved Star Ratings. When members do not utilize plan benefits, miss appointments, and are unengaged, Star Ratings plummet resulting in a direct impact on the funding providers are able to receive. Low Star Ratings can also cause members to switch to higher star-scored healthcare plans.
