CHESS Health Solutions

09/09/2025

🩺 Flu Season is Around the Corner. Are You Ready?

As flu season approaches, proactive planning is key to keeping patients healthy and meeting quality goals.

To stay ahead:
➡️ Check vaccination stock
➡️ Reach out to high-risk patients
➡️ Educate and empower patients
➡️ Coordinate with your entire team

Early action means fewer complications and better patient outcomes. Start preparing now!

09/04/2025

Value-based care is most effective when teams work together.

When providers, care coordinators, specialists, and pharmacists collaborate, patients receive timely, coordinated care.

What collaboration strategies are making the biggest difference in your practice?

09/03/2025

Did you know? NC Managed Medicaid covers many telehealth services, helping patients access care more conveniently.

09/02/2025

Whether you're managing chronic diseases or focusing on preventive care, Category II CPT codes can help you:

✅ Measure performance more accurately
✅ Capture quality data without impacting reimbursement
✅ Enhance your value-based care initiatives

09/01/2025

High blood pressure remains one of the most common and preventable health risks, yet many older adults still struggle with hypertension control.

Focus areas for success:
✅ Regularly track and document blood pressure readings
✅ Identify patients at risk and prioritize interventions
✅ Collaborate with your care team to support patient adherence

By staying proactive, providers can help patients manage their blood pressure effectively and reduce preventable complications.

https://youtu.be/h7kdpZ4aKG8

08/29/2025

Don't Wait -- Start Closing Gaps Now!

Start addressing quality gaps now to stay ahead of deadlines, improve patient outcomes, and avoid the end-of-year scramble.

The better you do, the more incentives you'll get.

Hear from our Manager of Value-based Contracts, Kyle Duck, on why getting a higher star rating is so important.

08/28/2025

We all know health is more than physical. When food, housing, or transportation and insecure, care gaps widen.

Julie Quisenberry describes how Coastal Horizons supported more than 400 clients monthly through the Healthy Opportunities Pilot, offering housing navigation, food, utility assistance, and more. With that program ending, her team is finding new ways to fill the gap.

Social determinants of health don't just affect outcomes, they often determine whether patients can access care at all. Creative, community-based solutions help patients thrive.

Tune in to the latest episode of the Move to Value Podcast on your favorite streaming platform. Subscribe so you never miss an episode!

Julie Quisenberry of Coastal Horizons shares how care management tackles housing, behavioral health, and social needs on the Move to Value Podcast

08/27/2025

⚙️ After nearly 20 years, VBC is still stuck in first gear ⚙️

A recent JAMA review highlights why: fragmented systems, fee-for-service incentives, and cultural inertia. While bundled payments and integrated pathways show promise, they remain the exception.

CHESS calls for bold moves—integrated data, true payment reform, and policies that prioritize equity and sustainability.

It’s time to scale success, not just pilot it.

🔗 Read More: https://www.chesshealthsolutions.com/2025/08/05/why-value-based-care-in-the-u-s-is-still-stuck-in-first-gear/

08/26/2025

Caring for Medicaid patients is complex. You shouldn't have to do it alone.

At CHESS Health Solutions, we've built a Medicaid CIN designed to support providers across North Carolina. Our team walks alongside practices to improve care, reduce administrative burden, and help you succeed in value-based contracts.

What sets our CIN apart?
➡️ Personalized support from Medicaid experts
➡️ Tools and data to improve outcomes
➡️ Strong relationships with payers and community partners
➡️ High-touch partnership focused on transparency and wrap-around services

We believe practices deserve the same care and attention they give their patients. If you're serving Medicaid patients and looking for a better path forward, CHESS is here for you.

08/21/2025

Leaving the hospital can be a vulnerable time for patients, with a greater chance for complications, medication errors, and gaps in care.

Transitional Care Management (TCM) services help bridge this critical transition by ensuring timely follow-ups, accurate medication reviews, and clear patient education.

By prioritizing TCM, providers can keep patients safer, heathier, and more connected to care teams.

08/19/2025

Providers - let's talk about HPV!

Summer is a go-time for vaccinations as families gear up for going back-to-school with annual well child visits.

Remind your patients about the importance of the HPV vaccine.

It's a key step in preventing cervical and other types of cancer.

Make it a routine part of your healthcare discussions!

08/18/2025

🚦 Zone Tools: Simple Strategy, Big Impact

Managing chronic conditions like COPD, heart failure, or asthma doesn't have to be complicated. One powerful way to reduce avoidable ED visits is through the use of Zone Tools.

Here’s how Zone Tools help lower ED utilization:
✅ Empower patients to manage symptoms at home
✅ Support early intervention before conditions worsen
✅ Improve communication between patients and care teams
✅ Reduce unnecessary ED visits and hospitalizations

Have you used Zone Tools in your practice? We’d love to hear your experience!