WellSuite® IV HRA for Medicare

Improve the health of your Medicare member population

Administer the WellSuite IV Health Risk Assessment for Medicare as part of the Annual Wellness Visit (AWV).

Unlike a generic one-size-fits-all assessment, our NCQA-certified Medicare HRA is designed specifically to help clinicians, population health managers, and health plans improve the health and well-being of their age 65+ members. We understand the unique challenges that seniors face, and your challenges to care for them. Our assessment collects valuable data to help you identify health risks, inform care plans, and comply with the Centers for Medicare & Medicaid Services (CMS) requirements.

Medicare Health Risk Assessment

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

A Required Component of the Annual Wellness Visit

HRA data informs care management and disease prevention plans

Adhering to the CDC framework, the WellSuite IV HRA for Medicare addresses the following health topics to help you devise a care plan that drives behavior change:

  • Demographic data (e.g., age, gender, race)
  • Self-assessment of health status
  • Biometric values (e.g., BMI, lipids, glucose)
  • Psychosocial risks (e.g., depression, stress, fatigue)
  • Behavioral risks (e.g., tobacco use, nutrition, physical activity)
  • Compliance with screenings and immunizations (e.g., colonoscopy, recent flu shot)
  • Activities of Daily Living (e.g., walking, feeding, bathing)
  • Instrumental Activities of Daily Living (e.g., transportation, medication use)

The WellSuite IV HRA for Medicare focuses not just on physical health, but also on the emotional and mental well-being of each member. Factors specific to senior populations, such as cognitive decline, frailty, and fall risk, are also measured. Our HRA identifies existing and future health risks as well as a member’s readiness to change. This allows you to focus your care plans on areas where you are most likely to have success.

Engage Your Medicare Members

User-friendly assessment and report drives engagement

Improve patient experience with the WellSuite IV HRA. It’s the core of an effective member engagement strategy. Use the health risk assessment to:

  • Raise awareness of health risks and create teachable moments.
  • Facilitate patient-provider communication and shared decision making.
  • Identify key areas where individuals are ready to change behaviors so you can better target programs and interventions.
  • Help the member understand and address the root cause of health issues.

Our HRA can spark “Aha!” moments, making it a valuable tool for inspiring behavior change.

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.

Actionable Data

Get quality data for population health management

The reporting capabilities of the WellSuite IV Health Risk Assessment for Medicare give you access to raw data on all participants and groups in your program 24/7. Analyze the health of your Medicare population and customize your own reports.

Push reports allow you to automatically and securely receive a PDF copy of each member’s Personal Report and a Physician Summary. The Physician Summary report displays a clinical view of a member’s answers to the HRA. It also includes their stage of readiness to change, which allows your care team 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