| Health Risk Assessments (HRAs) are tools that | | | | information |
| identify and quantify an individual's risk ofmorbidity or | | | | The organization should disclose how the information |
| mortality using demographic, medical and lifestyle | | | | obtained from the Health Risk Assessment |
| information. "Health Risk | | | | (HRA) will be used and to whom it'll be disclosed. The |
| Assessments (HRAs) and Medicare", an evaluation | | | | organization may offer the disclosure anduse |
| report completed by RAND for CMS, reached | | | | information within the Health Risk Assessment (HRA) |
| thefollowing conclusions. | | | | tool or reports or through writtencommunications. |
| • Effective Health Risk Assessment (HRA) plan | | | | Ability to save and print Health Risk Assessment |
| have demonstrated beneficial effects on | | | | (HRA) results |
| behavior,physiological variables and general health | | | | Internet-based Health Risk Assessment (HRA) should |
| status | | | | give the member the ability to save and printhis or her |
| • Interventions that combine Health Risk | | | | Health Risk Assessment (HRA) results. For |
| Assessment (HRA) feedback with the provision of | | | | paper-based Health Risk Assessments (HRAs),the |
| Health | | | | organization should have a mechanism in place for the |
| Plans are most likely to show beneficial effects | | | | member to receive a written copy of theresults. |
| • To be effective, Health Risk Assessment (HRA) | | | | Health Risk Assessment (HRA) Results |
| questionnaires should be accompanied by | | | | Companies should offer a printed or printer-friendly |
| follow-upinterventions (e.g., information, support and | | | | internet-based report for each individualparticipant. The |
| referrals) | | | | report may emphasis on either individual risks for |
| High quality Health Risk Assessments (HRAs) offer, a | | | | specified diseases or on |
| computation for individual risk from thefollowing most | | | | Health. |
| common diseases and risk factors. | | | | Health Risk Assessment (HRA) computations may |
| • Asthma | | | | emphasis on either individual risks based uponpersonal |
| • Chronic Obstructive Pulmonary Diseaase (COPD) | | | | risk factors or on overall risk or health. The report |
| • Diabetes | | | | should offer an explanatoryinformation to help them |
| • High Blood Pressure | | | | understand the outcome. Reports should clearly |
| • Ischemic heart disease | | | | identify behaviors thatcan lower risk for each risk |
| • Major depression | | | | factor, and recommend targets for improvement. |
| • Stroke | | | | Reports shouldinclude resources (e.g., community plan, |
| • Overweight/Obesity | | | | internet-based information and materials) that can |
| • Use of Tobaccos Products | | | | helpmembers change to a healthier lifestyle. At |
| • Mental health | | | | minimum, the organization should give computation |
| • Immunizations | | | | forindividual risk from the following most common |
| The Health Risk Assessment (HRA) collects and | | | | diseases and risk factors. |
| reviews information to predict a member'slikelihood of | | | | • Asthma |
| experiencing the most common diseases. | | | | • Chronic Obstructive Pulmonary Diseaase (COPD) |
| Health Risk Assessments (HRAs): Demographic | | | | • Diabetes |
| characteristics | | | | • High Blood Pressure |
| A person's age, gender and ethnicity are indicators of | | | | • Ischemic heart disease |
| elevated risk for certain diseases. Atminimum, the | | | | • Major depression |
| Health Risk Assessment (HRA) should collect | | | | • Stroke |
| information, to the extent allowed bylaw, information on | | | | • Overweight/Obesity |
| the member's age, gender and ethnicity. | | | | • Use of Tobaccos Products |
| The Health Risk Assessment (HRA) should include | | | | • Mental health |
| queries addressing the individual's personal andfamily | | | | • Immunizations |
| history of diseases or risk factors for common | | | | Health Risk Assessment (HRA) report |
| diseases. The Health Risk Assessment (HRA)must | | | | The Health Risk Assessment (HRA) should give |
| include queries to assess health risks related to the | | | | internet-based print-friendly results and theability for the |
| highly personal health characteristicsand behaviors | | | | user to print the results. The Health Risk Assessment |
| listed below. | | | | (HRA) report should includea profile of individual risk |
| • Weight Management | | | | level for personal conditions or diseases according to |
| • Nutrition | | | | age, gender,ethnicity and risk factors that were |
| • Use of Tobaccos Products | | | | identified in the questionnaire. The report should |
| • High Blood Pressure | | | | clearlyidentify behaviors that can lower the risk for |
| • Cholesterol | | | | each risk factor and recommend targets |
| • Exercise | | | | forimprovements. |
| • Alcohol consumption | | | | Available Resources |
| • Traveling by motor vehicle | | | | The Health Risk Assessment (HRA) report should also |
| • Stress Management | | | | include references to resources that can helpthe |
| • Mental health | | | | member understand the Health Risk Assessment |
| Perceived Health Status | | | | (HRA) results and assist the member in changingto a |
| The Health Risk Assessment (HRA) should include | | | | healthier lifestyle. |
| queries that assess A person's self-perceivedhealth | | | | The resources can include references to relevant |
| status. The queries should allow an individual to rate | | | | internet-based information, materials andcommunity |
| their own health status on arelative scale. | | | | plan. |
| Disclosure of use of Health Risk Assessment (HRA) | | | | |