Solutions For ALL Markets

MedXM has a long history and an outstanding record of partnering with health plans to serve multiple populations. Today, our expanded
network of member-centric services extends to all health plan types and their members nationwide.

Type Markets
Gain perspective on your new members with our bridge programs. Initial on-boarding solutions help give your health exchange members a chance to be seen right away to increase retention and satisfaction.

Our HCC Solutions

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Commercial Health Plan Solutions Our solutions provide Commercial Health Plans with the ability to reach individuals at the very beginning and throughout their new membership. Providing onboarding assessments and services improve the member experience and member retention.

Welcome to Health Care Calls Increase member satisfaction and retention with Welcome to Health Care Calls. Highly trained, multilingual, call center representatives can call to welcome members to your plan. The member is educated with relevant information and introduced to their new benefits. Onboarding Health Risk Assessments Welcome new members to their benefits with a visit from a MedXM Medical Doctor or Nurse Practitioner. The electronic risk assessment platform used during an Onboarding Health Risk Assessment helps you increase revenue by documenting past and current diagnoses, medications, and hospitalizations.

An Onboarding Health Risk Assessment includes:
  • Confirming their PCP
  • Medical History Documentation
  • Medication List & Review
  • Behavioral Health Screening
  • Physical Examination
  • Old & New HCC Documentation
  • Recommendations for PCP follow up
Identify members who are most at risk using MedXM’s Medicare Advantage services. Close quality gaps in care and increase quality ratings by educating members about their health risk factors and encouraging them to take a proactive approach to their health.

Our HCC Solutions

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Our Star Solutions

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Medicare Advantage Health Plan Solutions Our solutions provide Medicare Advantage Health Plans with tools to succeed in this highly regulated industry. By understanding the needs of an aging population and identifying barriers, MedXM gives you the data you need to improve quality, balance costs, and boost member satisfaction.
Member Education Knowledge is power. MedXM can provide members with health pamphlets on falls risk, urinary incontinence, advance directive, increasing activity level and other preventive services. Comprehensive Health Risk Assessments In the home or in a MedXM clinic, a Comprehensive Health Risk Assessment could provide a wealth of cost effective data used to engage members and tailor their wellness experiences.

A Comprehensive Health Risk Assessment includes:
  • Medical History Documentation
  • Medication List & Review
  • Fall Risk Assessment
  • Behavioral Health Screening
  • Physical Examination
  • HCC Documentation

Osteoporosis Screenings Reduce fracture risk among your membership by having a licensed technician perform a bone density scan on members. Peripheral Artery Disease Screenings Identify members at risk for pre-symptomatic peripheral artery disease using a rapid digital ankle-brachial index test. Labs and Ancillary Services Screen your members for a number of conditions for early detection and prevention of diseases.

Additional Services Include:
  • Colorectal Cancer Screening
  • Spirometry Testing (for Asthma and COPD)
  • Diabetes Screenings: Diabetic Eye Exams, HgbA1c, Urine Microalbumin

Post Hospital Discharge Visits MedXM’s post-hospital discharge visits are designed to reduce preventable readmissions and have a record of reducing readmissions in one plan by 29%.

When it becomes difficult to manage and engage Medicaid members, MedXM has outreach capabilities to connect with your population. Reduce emergency service use by visiting these members early in their enrollment and following those at risk for preventable emergency department use and hospitalizations.

Our HCC Solutions

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Our Star Solutions

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Medicaid Health Plan Solutions MedXM’s Medicaid Health Plan solutions involve seeing the member in the right place at the right time. Non-compliant members need extra attention to engage and care manage. Understand this special population’s needs and delve deeper into their health status using these solutions tailored to the Medicaid population.

Comprehensive Health Risk Assessment In the home or in a MedXM clinic, a Comprehensive Health Risk Assessment could provide a wealth of cost effective data used to engage members and tailor their wellness experiences.

A Comprehensive Health Risk Assessment includes:
  • Medical History Documentation
  • Medication List & Review
  • Behavioral Health Screening
  • Physical Examination
  • HCC Documentation

Post Partum and Child Well Visits MedXM can provide needed home care for new mothers and newborns until regular follow-up with an OB-GYN and/or Pediatrician can be arranged. In addition, the visit evaluates any post-delivery complications of the mother and child and the mother’s emotional reactions to pregnancy.

Recruitment Runs High With MEDXM

MedXM provides a high degree of diversity among our professional staff of over 4,000 MDs, NPs, PAs and Technicians. In addition to English, we have staff who speak Spanish, Arabic, two Chinese dialects, Farsi, French, Creole, Russian and Hebrew.

Expect Trustworthiness & Expertise

MedXM provides technology driven, highly customizable, and improved outcome solutions proven to improve quality.

MedXM_Health-Plan

Three Tiered Approach Choice &
Convenience

We offer new service delivery models to see your members at a location convenient for them.

In the Home
In A Retail Clinic
In a PCP or SNF

Services

• Comprehensive Health Risk Assessments
• Risk Stratification
• Care Management
• Initial and Annual Wellness Visits

• HEDIS and Star Gap Closures
• Labs and Ancillary Services
• Member Engagement

• Data Analytics
• Post Hospital Discharge Visits
• Medication Therapy Management

How It Works

1.Our Platform

Electronic
Clinical
Customizable
connects

2. Network of Providers

When uncertain, look to experts to guide decisions.
MedXM’s credentialed and highly trained network of
Medical Doctors, Nurse Practitioners, Physician Assistants,
and Technicians are the trustworthy experts you need to
engage your membership.

us

3. Nationwide

We offer new service models to meet your members at a
location convenient for them, in home, retail clinics, PCP or SNF.

4. Launch Quickly

MedXM has the ability to ramp up the provider network in concentrated areas for specific client projects. We work with
you to accomplish your goals as quickly as possible.

5. Member Engagement

Highly trained and monitored call center representatives educate members over the phone with relevant information.
They address questions regarding any program or service
provided to the member by their health plan.

Steps 1 Through 5 = Better Outcomes

Member Engagment

MedXM relates to your members to
increase engagement.

Throughout the entire process MedXM representatives are effective messengers portraying expertise, trustworthiness, and similarity.

Expertise

MedXM’s call center representatives are highly trained on the population they outreach to, they become experts on your members.

MedXM’s credentialed and highly trained network of Medical Doctors, Nurse Practitioners, Physician Assistants, and Technicians are experts at gathering the critical information needed to better serve your members and improve quality.

Trustworthiness

MedXM call center representatives can gain members’ trust quickly because they are honest and tactful in the way they relay information regarding benefits offered to your members.

MedXM’s medical professionals have all gone through extensive credentialing and training to understand how to conduct assessments in a member’s home or in a retail clinics. MedXM representatives act professionally at all times to ensure a positive experience for your members.

Similarity

Your members are more likely to believe people who are like them. MedXM call center representatives speak the same language as your members to create trust and acceptance. MedXM medical professionals also live in or near the communities they are servicing.