For member counts use the number of members as of December 31st, 2015 who participated in the activity at any time during 2015. Note column 3 # members should be unique and not double counted - if ONE member receives 10 member specific reminders, that member should only be counted ONCE. Respondent must select either response option 4 OR 5 for response to be considered "complete". Number Indicate if Number of Is Autocalcalculated of intervention members 18 years intervention % of Plan High members Offered to and above in this a standard or Risk Medically as High Risk state/market buy-up Complex eligibles specified Medically receiving option (Cost who received in rows 1, Complex intervention (if plan of intervention and 2 Patients in offers intervention Intervention) this but does not track state/market participation, enter NA) Number of Decimal. members aged 18 and above in this market Using the Plan’s Decimal. definition, provide number of members 18 and above who are High Risk Medically Complex Member-specific Multi, Decimal. Multi, Unknown reminders for due Checkboxes. From 0 to Checkboxes. 1: HMO, 1: Included as or overdue 100000000000. 2: PPO, part of high-risk clinical/diagnostic 3: Intervention program with no maintenance not offered, additional fee, services 4: Regional 2: Inclusion of Answer Number this intervention provided, requires an reminders” 5: National additional fee, only if it involves Number 3: Inclusion of reminders that are provided, this intervention independent of the 6: Offered but sometimes live outbound not tracked requires additional fee, telephonic program depending on contract , 4: Intervention available outside of a specific program as a standard benefit for fully insured lives,
For member counts use the number of members as of December 31st, 2015 who participated in the activity at any time during 2015. Note column 3 # members should be unique and not double counted - if ONE member receives 10 member specific reminders, that member should only be counted ONCE. Respondent must select either response option 4 OR 5 for response to be considered "complete". Number of members as specified in rows 1, and 2 Indicate if intervention Offered to High Risk Medically Complex Patients in this state/market Number of members 18 years and above in this state/market receiving intervention (if plan offers intervention but does not track participation, enter NA) Is intervention a standard or buy-up option (Cost of Intervention) Autocalcalculated % of Plan High Risk Medically Complex eligibles who received intervention Number of members aged 18 and above in this market Decimal. Using the Plan’s definition, provide number of members 18 and above who are High Risk Medically Complex Decimal. Member-specific reminders for due or overdue clinical/diagnostic maintenance services Answer reminders” only if it involves reminders that are independent of the live outbound telephonic program Multi, Checkboxes. 1: HMO, 2: PPO, 3: Intervention not offered, 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked Decimal. From 0 to 100000000000. Multi, Checkboxes. 1: Included as part of high-risk program with no additional fee, 2: Inclusion of this intervention requires an additional fee, 3: Inclusion of this intervention sometimes requires additional fee, depending on contract , 4: Intervention available outside of a specific program as a standard benefit for fully insured lives, Unknown