Welcome to Triple Aim Health, LLC.

• All Medicare beneficiaries qualify for an AWV and can receive one every 12 months
• Under 20% of beneficiaries are currently receiving AWVs
• Use our Patient Activation Center to schedule AWVs
• Patients are enrolled to CCM during the AWV
• The care plan generated during the AWV is used to activate CCM and PPPS for the patient
• Triple Aim Health provides a turnkey solution with no capital expenditures and no additional staffing

• Most Medicare beneficiaries have two or more chronic conditions and qualify for CCM services
• CMS activated CPT Code 99490 to bill for CCM on May 1, 2015
• CCM provides high frequency, low intensity interactions among providers, patients and caregivers to improve patient outcomes
• Ongoing monthly CCM interactions optimizes patient data collection and creates opportunity to deliver PPPS
• Triple Aim Health provides a  full service turnkey solution with no capital expenditures and no additional staffing

60% of overall score

271 total to choose from

6 required per practice

Program Examples:

1. Care Plan
2. Diabetes:  Foot Exam
3. Falls Risk Assessment 
4. Preventive Care & Screening:  Clinical Depression 
5. Preventive Care & Screening:  Unhealthy Alcohol Use 
6. Preventive Care & Screening:  Influenza Immunization

25% of overall score

15 total to choose from

5 required per practice 

Practice Responsibilities:

1. Security Risk Analysis 
2. e-Prescribing
3. Provide Patient Access

Program Examples:

1. Send Summary of Care
2. Request/Accept Summary of Care

15% of overall score 

93 total to choose from 

4 required per practice

Program Examples:

1. Implementation of Practices/Processes for developing regular individual care plans 
2. Chronic Care and Preventive Care Management for empaneled patients 
3. Implementation of Medication Management Practice Improvements 
4. Implementation of use of specialist reports back to referring clinician or group to close referral loop