Act now to protect patient health and achieve Continuity of Care goals
We are in the critical phase of the Continuity of Care (CoC) program. All essential clinical gaps must be closed by December 31. Every patient encounter matters—your actions today directly impact care quality and risk adjustment outcomes.
HEDIS is a nationally recognized set of performance standards used to evaluate the quality of care provided to health plan members.
Appointment agenda—focus on urgent priorities
- Prioritize high-value clinical gaps
Address the most urgent gaps to deliver meaningful improvements in patient care. - Maximize every patient interaction
Use each visit to resolve the most pressing care needs efficiently. - Document with precision
Ensure all records accurately reflect clinically confirmed conditions..
Why this matters
By focusing on these priorities, we can:
- Improve patient outcomes.
- Elevate care standards.
- Guarantee accurate risk adjustment data capture
Thank you for your unwavering commitment to our Wellcare members. For questions or support, please contact Provider Engagement Director Erica Valdivia at Erica.Y.Valdivia@healthnet.com.
Need help? Contact us
If you have questions regarding the information contained in this update, contact 866-999-3945.
This information applies to Physicians and Independent Practice Associations (IPAs).