EHN 2022AnnualReport 9DIGITAL - Flipbook - Page 11
Medicare Advantage
EHN ended 2022 with strong performance across all four
Medicare Advantage contracts: Aetna, Humana, Premera Blue Cross,
and UnitedHealth.
We distributed a total of $1.7M to providers and practices through care coordination payments,
incentives, and shared savings settlement. In 2022, some of the operational challenges that began in
2020, due to the pandemic, continued. Certain appointments were difficult to schedule due to Covid-19
demands and staffing challenges, specifically Annual Wellness Visit (AWV) completion, chronic
condition re-documentation, and preventive screenings, such as breast cancer screenings, colorectal
cancer screenings, and diabetic eye exams.
Despite these challenges, we have seen strong progress in practice engagement. Additionally, process
improvements (such as those you can read about for AWVs on page 10), enhancements to data reporting
and practice education helped us move the needle on these measures through 2022.
2022 Performance*
MEASURE
AETNA
HUMANA
PREMERA
REGENCE
UNITED
GOAL
Annual Wellness
65%
54.9%
65.7%
43.8%
60.1%
70%
STAR Ratings
4.30
3.45
4.4
3.85
4.55
4.25
61.79%
73.1%
63.84%
–
53.13%
75%
Chronic Condition
Re-assessment
*
Data up-to-date as of 12/31/2022.
Process improvements, enhancements to data reporting and practice education
helped us move the needle on these measures through 2022.
2022 Annual Report
9