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Important SNAP Updates: See what’s changing and where to get support. Learn more
Important SNAP Updates: See what’s changing and where to get support. Learn more

IMPROVING CARE FOR MEMBERS THROUGH QUALITY INITIATIVES

Date: 02/10/23

Each year the Quality Improvement team evaluates the quality of care patients receive, as well as their overall healthcare experience. Starting in Q1 and continuing through Q2, Meridian may reach out to you (or your office) or your patients to gain information about services given and received through two separate initiatives: HEDIS® Hybrid season and the annual CAHPS® survey.   

HEDIS Hybrid Season

The Healthcare Effectiveness Data and Information Set (HEDIS) Hybrid season is an opportunity to identify additional services that may not have been captured through claims for your patients. This year, Meridian has partnered with two vendors, Change HealthCare and CIOX, to assist with medical records retrieval. From now until May, your office can expect the following from our vendors:

  • Medical record requests via fax or mail
  • Requests for remote electronic medical record (EMR) access
  • Phone call outreach to confirm receipt of medical record requests and ensure timely responses

We appreciate your partnership and timeliness in response to these medical record requests. For questions regarding Change Healthcare, providers can reach out at 855-767-2650. For questions regarding CIOX, providers can reach out to the Health Provider Support Center at 877-445-9293 or email chartreview@cioxhealth.com. Please note that PHI cannot be accepted through email.

Annual CAHPS Survey

Fielding of the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey will begin at the end of February and conclude in May. The CAHPS survey allows patients to evaluate the aspects of care delivery that matter the most to them. Every year, a random anonymous sample of Meridian members are surveyed about their experience with their providers, services, and health plan. It is an important component of ensuring that members are satisfied, not only with their health outcomes but also with their healthcare experience.

At Meridian, we are committed to partnering with our providers to deliver an outstanding patient experience. As a provider, you are the most critical component of that experience. You provide guidance and solutions to help patients navigate the complexities of health care and help make it easier for them to get timely care, tests, and treatment.

Please encourage your patients to complete the survey if they receive it. CAHPS survey results will be shared with providers in the Fall.

Questions?

For questions contact your Provider Relations representative.