CHESS Health Solutions

CHESS Health Solutions We are sustainably transforming the health care experience for the patient, provider, and care team.

CHESS empowers physicians and health systems to safely transition to value based care. CHESS collaborates with physicians and health systems, considering them value partners, and provides a better understanding of the needs of their patient population. Together, CHESS and its value partners transform care through innovative, team-based solutions, implementing care models that address the needs of the sickest patients while aligning clinical goals and financial goals. Together, CHESS and health care systems create more effective care methods and pathways to improve patient outcomes.

V28 of the CMS-HCC risk adjustment model is here, and it changes how patient complexity is recognized. Some diagnoses no...
02/23/2026

V28 of the CMS-HCC risk adjustment model is here, and it changes how patient complexity is recognized.

Some diagnoses no longer carry the same weight. Categories have shifted, and specificity matters more than ever.

If a condition is not clearly assessed, addressed, and documented, it will not count toward a patient's risk profile.

Make sure you capture all active conditions, use specific diagnoses, and document how they affect your clinical decisions at least once each year.

Your documentation is now more important than ever.

some MA plans allow you to see any healthcare provider who accepts Medicare?
02/20/2026

some MA plans allow you to see any healthcare provider who accepts Medicare?

Medicare Annual Wellness Visits look a little different in 2026.AWVs remain a preventive care cornerstone, but expectati...
02/19/2026

Medicare Annual Wellness Visits look a little different in 2026.

AWVs remain a preventive care cornerstone, but expectations around what’s assessed and documented continue to evolve.

There’s greater emphasis on lifestyle risk factors, prevention planning, and using the visit to capture a clearer picture of the patient’s overall health, not just a checklist.

An AWV is not a physical. It is one of the most important visits of the year for prevention, quality, and patient engagement.

Controlling high blood pressure is a vital step in preventing heart attacks, stroke, and kidney disease.While there is n...
02/17/2026

Controlling high blood pressure is a vital step in preventing heart attacks, stroke, and kidney disease.

While there is no cure, providers can spread awareness and empower patients.

📌 Start the conversation: Encourage regular check-ups to monitor blood pressure levels.
🥦 Advocate a heart-healthy lifestyle: Share tips on a balanced diet, regular exercise, and stress management.
💊 Medication adherence matters: Remind patients to take prescribed medications consistently.
📈 Monitor at home: Recommend home blood pressure monitoring for a more comprehensive view.
💙 Emphasize teamwork: Encourage open communication and shared decision-making.

It's not just about treating high blood pressure; it's about preventing it. Share this knowledge with your patients for a healthier, heart-smart life!


Myth: Medicaid does not cover telehealth visits.Fact: NC Medicaid covers many telehealth services, including behavioral ...
02/16/2026

Myth: Medicaid does not cover telehealth visits.

Fact: NC Medicaid covers many telehealth services, including behavioral health, chronic disease management, and follow-ups, helping patients access care more conveniently.

Every colorectal cancer screening completed is a potential life saved.Barriers like lack of awareness, discomfort discus...
02/11/2026

Every colorectal cancer screening completed is a potential life saved.

Barriers like lack of awareness, discomfort discussing the topic, and misconceptions about screening options must be addressed.

💡 Here's how we can make an impact:

• Start the conversation early with patients, especially those at higher risk
• Offer education about non-invasive screening options, like FIT tests
• Collaborate with care teams to close gaps in screening rates

How is your practice addressing gaps in colorectal cancer screenings?

🎉 Cheers to our February work anniversaries!Your had work and dedication make all the difference. Thank you for being an...
02/10/2026

🎉 Cheers to our February work anniversaries!

Your had work and dedication make all the difference. Thank you for being an essential part of our team!

Starting the year strong starts with prevention.February is the perfect time to prioritize patient screenings. From canc...
02/09/2026

Starting the year strong starts with prevention.

February is the perfect time to prioritize patient screenings. From cancer screenings to diabetes and cardiovascular checks, these preventive measures help catch issues early, close quality gaps, and guide better care plans throughout the year.

When screenings are done early, care teams have more time to intervene, follow up, and support patients in staying healthier all year long. It is better for outcomes, quality performance, and patient trust.

Medicare’s new GLP-1 pricing initiative signals a shift in how these medications may be covered and accessed in 2026.For...
02/06/2026

Medicare’s new GLP-1 pricing initiative signals a shift in how these medications may be covered and accessed in 2026.

For years, many patients paid out of pocket for GLP-1s when prescribed for obesity. Now, Medicare is moving toward models that lower costs and expand access for eligible beneficiaries.

Providers should be ready for new patient conversations, eligibility questions, and documentation needs as this landscape evolves.

Caring for Medicaid patients is complex. Doing it alone is even harder.The CHESS Medicaid CIN gives independent practice...
02/05/2026

Caring for Medicaid patients is complex. Doing it alone is even harder.

The CHESS Medicaid CIN gives independent practices the data, guidance, and hands-on support needed to turn everyday care into measurable performance.

You keep your independence. We help you succeed in Medicaid value-based care.

The completion rate for Annual Wellness Visits (AWVs) is only around 25% for Medicare beneficiaries.These visits can sav...
02/04/2026

The completion rate for Annual Wellness Visits (AWVs) is only around 25% for Medicare beneficiaries.

These visits can save hundreds of thousands in healthcare spend a year, and are essential for capturing important screenings and quality measures.

Ensure you are scheduling AWVs to keep you patients happy and healthy!

Address

165 Kimel Park Drive, Suite B
Winston-Salem, NC
27103

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

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