WellSuite® IV HRA for Medicaid

Improve the health of your Medicaid member population

Our NCQA-certified WellSuite® IV Health Risk Assessment (HRA) for Medicaid helps you predict and prevent future healthcare costs for your Medicaid members. It’s a powerful tool for understanding their health status, risks for chronic disease, socioeconomic influencers affecting their well-being, and motivation to make changes for better health.

Our HRA can be completed on a desktop, mobile device, or on paper. With the data you can:

  • Learn how members’ lifestyles impact their health and well-being
  • Educate members with tips and tools to make healthy choices
  • Implement the most effective interventions
  • Initiate clinician-patient conversations to address health risks
  • Increase member participation and engagement
  • Track a member’s progress as they move in and out of your health plan

Wellsource understands that the Medicaid population faces a complex set of circumstances and needs. Unlike a one-size-fits-all HRA, the WellSuite IV HRA for Medicaid asks targeted questions and is written with health literacy in mind. All content is graded at a fourth-grade reading level. It is recognized for its scientific validity.

Download the WellSuite® IV Health Risk Assessment for Medicaid product sheet

Identify Risk Factors for Chronic Disease

Assess physical, mental, social, and emotional health

The WellSuite IV HRA for Medicaid was developed to help you obtain a clear understanding of your Medicaid population’s needs. It assesses current physical health and social determinants of health, such as access to health foods and social support. Use our assessment to understand and evaluate which socioeconomic issues and lifestyle behaviors have the greatest impact on your patients’ risk for chronic disease.

The Health Risk Assessment addresses the following health topics:

  • Personal Health History & Current Treatment
  • Medical Office & ER Visits
  • Tobacco Use
  • Weight Management
  • Nutrition
  • Stress Management
  • Alcohol & Drug Use
  • Depression & Mental Health

Inform Population Health Management Strategies with Actionable Data

Assess “readiness to change” to target resources efficiently

Our Health Risk Assessment identifies members’ unhealthy behaviors that they are willing to change, allowing you to focus intervention efforts on areas where you are most likely to have success. Providers, care coordinators, and health plans are able to pinpoint and prioritize the best interventions for each person.

This valuable data can help staff immediately connect the member to resources to address health risks. You can target high-risk members for a care management intervention.

Use the HRA data to measure the effectiveness of your interventions. The first use of an HRA provides baseline data on the health of an individual or group. Administering the HRA over the course of the year gives you the opportunity to track progress over time.

Increase Medicaid Member Engagement

Encourage members to take an active role in their health

It’s not just the data collection that makes the WellSuite IV Health Risk Assessment valuable. Use it to drive member engagement and improve patient experience. Our HRA engages members in their care and helps providers and members work in close cooperation.

  • The assessment process encourages members to think about their health and ways to improve.
  • A visually engaging Personal Report explains risk factors and simple ways that healthy habits can be incorporated into their daily routine.
  • Optional library of how-to articles, quizzes, and mini-assessments offers additional resources for positive behavior change.
  • A Physician Summary report helps clinicians develop a care plan with the member.
  • A dialogue based on the results of the HRA raises awareness of health risks and creates teachable moments.
  • The provider can help with setting goals and guide the member with action-oriented advice, referrals to programs and services, and educational materials.
  • Results of subsequent HRAs allow members to see how their health has improved over time.

Read more about Medicaid member engagement.

Health risk assessment on mobile

Intuitive and Easy to Understand

Adaptive design for a personalized experience

Dynamic Question Set: The WellSuite IV HRA uses branching logic to guide seniors through an intuitive and interactive question set. They see only questions that are relevant to them. The HRA takes 20 minutes or less to complete.

Content-Rich Personal Report: After completing the assessment, the participant receives a Personal Report. This gives an overview of health with easy-to-understand language and an engaging format – with color coding, graphs, icons, and a number-based scoring system. A series of configurable “Next Steps” or “Recommendations” buttons throughout the report helps direct participants to your specific programs and resources. Trending data shows the participant how they are improving from one HRA to the next.

Health Literacy: Our Health Risk Assessment question set and Personal Report avoid medical jargon and are written in plain language. All content is written at a respectful fourth-grade reading level and tested for usability.

Download our guide: Health Literacy Linked to Health Outcomes

Robust Reporting Capabilities

Get quality data that’s based on solid scientific research

We understand how important actionable data is to population health management. You can access raw data on all participants and groups in your program 24/7, allowing you to perform deep analysis on your populations and customize your own reports. You can also create aggregate reports for an at-a-glance look at the health of your Medicaid groups.

With push reporting, you will automatically and securely receive a copy of each member’s Personal Report and a Physician Summary PDF file upon completion of their HRA. The Physician Summary displays a clinical view of a member’s answers to the HRA, and includes their stage of readiness to change. This allows you to home in on key risk factors that the member is ready to address.

Branding and Customization

Flexibility of the HRA offers many customization options

Logos and Colors: Customize for your organization.

Additional Questions: We can add custom questions and place them anywhere in the assessment that you would like.

Online or Paper Format: Our HRA can be completed online on a desktop, tablet, or smartphone. We also offer a paper questionnaire and personal report. The HRA also can be delivered over the phone.

Integration Options: Our HRA can be used as a stand-alone tool, or integrated into your platform or portal. Our integration APIs are well documented.

Read more about WellSuite IV integration.

Wellsource in-house technical support and training for health risk assessment

Client Support

We provide free technical support and training

We provide implementation services and free ongoing technical support and product training.

NCQA Certified

Our Health Risk Assessment helps organizations earn NCQA accreditation

Certification from the National Committee for Quality Assurance (NCQA) is the “gold standard” for wellness and health promotion products. The WellSuite IV HRA for Medicare satisfies the requirements for NCQA WHP 5 certification, and enables organizations to pass the requirements for PHM 4, Elements A through G (formerly MEM 1).

Our HRA also adheres to the 37 elements of the CMS recommendations for HRAs. It is compliant with the latest privacy requirements of the Health Insurance Portability & Accountability Act (HIPAA), including the HITECH amendments, and the Genetic Information Nondiscrimination Act (GINA).

Read more about WellSuite IV Security and Compliance.

NCQA logo

Scientific Validity

Use a proven, evidence-based health risk assessment

When you work with Wellsource, you benefit from four decades of experience in creating effective wellness tools. We have led the industry in delivering scientifically valid, reliable, and innovative HRAs. Our HRAs are some of the most established and valid questionnaires for assessing wellness on the market today. They’ve been used in a significant body of scientific research, dissertations, and publications – more than 86 times since 1988.

We continually review the latest research published in peer-reviewed medical journals and look to leading health organizations, such as the National Institutes of Health and the Centers for Disease Control and Prevention, for their respected and authoritative guidelines. The Wellsource team of doctoral-level health and lifestyle experts is adept at turning research outcomes into evidence-based algorithms. The end result: effective, cost-saving tools for better health.

Learn more about WellSuite® HRAs. Download these products sheets.

Wellsource Health Risk Assessments

WellSuite® IV Health Risk Assessment for the Workforce

Wellsource Health Risk Assessment

WellSuite® IV Health Risk Assessment for the
Non-U.S. Workforce

Medicare Health Risk Assessment

WellSuite® IV Health Risk Assessment for Medicare

WellSuite® IV Health Risk Assessment for Medicaid