HEDIS manure,
I got letter from insurance company that only 28% of my diabetics got good care. Didn't say everyone got A1C, blood pressure control, Lipid, Diabetic foot care, Microalbumin/creat ratio done. I ordered diabetic eye exam on all but only 28% completed it so guess who gets the blame. We are noticing a pattern. We are only getting 1-2 requests from each insurance company listing one or two of our most non-compliant patients and they no longer accept our reminders sent for needed care or care that was ordered and not done. Also reminders sent don't count or letters sent to them stating we will no longer be responsible for adverse outcomes but to their lack of failure to get care (works on most patients as they don't want to take resposibility for their own care). We are now held responsible and the patient has NO responsibility for this. We will soon have to show up at their house or work and forcibly bring them in for care. Doesn't make sense to me.
