Member Medical History Plus: How MMH+ Can Help You Transform Your Practice

Transcription

1 Member Medical History Plus: How MMH+ Can Help You Transform Your Practice

2 MMH+ is designed around you MMH+ provides patient-based personal health information online MMH+ is easy to use: Practices don t need any special hardware or software. One of our provider representatives will set up external access for any participating practice that wants to use the program. 2

3 MMH+ allows for secure information exchange MMH+ is secure: It meets all HIPAA security requirements. When you re ready to get started, you can access MMH+ via a secure URL, using an individual user ID and password. Via the Communication tab inside MMH+, we will alert users to planned outages, enhancements or login changes. 3

4 MMH+ at your fingertips MMH+ is flexible: Patient data can be exported into Excel for inclusion in patient charts. Primary access is via internet URL. MMH+ is free: There is no charge for providers to use MMH+. MMH+ is fast: A recent rewrite of the application included a move to a true transactional database platform. It typically takes only a few seconds to retrieve a patient s record. 4

5 MMH+ gives you the information you need, when you need it MMH+ gives primary care providers and office staff access to actionable, timely patient information: Patient demographics Eligibility history Procedures performed Medications filled Past diagnoses Care Alerts Other providers seen Lab results Utilization and Care Management 5

6 How MMH+ serves patients: Susan s Story 6

7 How MMH+ serves patients: Susan s Story Susan is a new patient starting in the practice. She filled out her initial assessment several days before her appointment via a patient portal. The afternoon before Susan s appointment, Janice, the practice s medical assistant reviews the patient list for the next morning. She notices Susan s coverage history and looks up her record in MMH+. 7

8 How MMH+ serves patients: Susan s Story Janice prints out the patient summary and provides it to Dr. Jones and the care team to review during the morning huddle. Susan has diabetes, which she reports has been a struggle to keep managed. 8

9 How MMH+ serves patients: Susan s Story Susan has tried numerous medications, but can t recall which ones she has tried at which doses. MMH+ has a record of her medication history and labs for the past two years. Dr. Jones and his team are able to use this information, along with Susan s reports of her eating and lifestyle habits, to create a care plan to help get her diabetes under control. 99

10 How MMH+ serves patients: Susan s Story A member of the Practice Care Team also notes in MMH+ that Susan s health plan Care Management team attempted to connect Susan with available plan resources. The PCP Team can now follow up with Susan regarding tools and resources supported by the Patient-Centered Primary Care Program

11 How MMH+ serves patients: Susan s Story Review of MMH+ for a new patient allows for: A more thorough history of medications and labs to create a better plan of care for a member. Referrals to supportive programs for greater potential for the patient to reach their goals

12 MMH+ tools and resources 12

13 MMH+ Login Enter User Name and Password, obtained from your Provider Representative 13 13

14 MMH+ Disclaimer Click Accept to Continue 14 14

15 MMH+ Communications Tab 15 15

16 MMH+ Member Search Function Enter a member s ID (HCID, Subscriber, SSN), or Name (Last, First) AND DOB Click to choose claims history: 1 year; 2 years; 5 years or custom 16 16

17 MMH+ Sensitive Information Click this box to retrieve Sensitive Diagnosis Information via the Break Glass function 17 17

18 MMH+ Sensitive Information Disclaimer 18 18

19 MMH+ Member Demographics 19 19

20 MMH+ Usability Features Click on any header tab to sort the records up or down using that column Click and drag any header tab to move within the container and arrange the order of the columns Click and drag any column boundary line to resize and view additional text 20 20

21 MMH+ Pharmacy Claims 21 21

22 MMH+ Professional Claims 22 22

23 MMH+ Facility Claims 23 23

24 MMH+ Care Alerts 24 24

25 MMH+ Lab Results 25 25

26 MMH+ Medical Management - UM 26 26

27 MMH+ Medical Management - CM 27 27

28 MMH+ Patient Summary 28 28

29 MMH+ Contacts for More Information For information on registration or for help using the tool: Please contact your Contract Advisor or Patient-Centered Care Consultant Thank You! 29 29

30 Legal Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross and Blue Shield of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-hmo benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation (Compcare), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association