In-Home Risk Assessments
Compassionate Care. Clinical Precision. Delivered Where It Matters Most.
At Johnson Healthcare Solutions, our In-Home Risk Assessments bring high-quality clinical evaluations directly to the patient’s doorstep. Designed for Medicare Advantage members, these visits help identify health risks early, improve care coordination, and support better outcomes—all in the comfort and privacy of home.
What We Provide:
Comprehensive Health Evaluations Our licensed clinicians assess chronic conditions, medication adherence, functional status, and social determinants of health.
Personalized Care Insights Each visit generates a detailed clinical report to support primary care providers and health plans in optimizing care.
Culturally Attuned Outreach We prioritize respectful, inclusive care—tailored to the diverse communities we serve.
Secure EMR Integration Assessments are documented using HIPAA-compliant, cloud-based workflows for seamless data sharing and compliance.
Who Benefits:
Medicare Advantage Plans seeking improved HEDIS scores and member engagement
Patients who prefer care in a familiar, low-stress environment
Providers looking to close gaps in care and enhance clinical visibility
A Health Risk Assessment (HRA) for Medicare is a structured questionnaire and clinical evaluation used to identify a beneficiary’s health status, risks, and care needs. It’s a key component of the Annual Wellness Visit (AWV) under Original Medicare and is widely used by Medicare Advantage (MA) plans to support care coordination, risk adjustment, and quality improvement.
Purpose of a Medicare Health Risk Assessment:
Identify chronic conditions and health risks
Support Hierarchical Condition Category (HCC) coding for accurate reimbursement
Guide personalized care planning
Close gaps in preventive services
Improve HEDIS and STAR ratings for MA plans
What It Includes:
A typical Medicare HRA covers:
Demographics and self-reported health status
Medical history and current diagnoses
Medication review
Functional status (ADLs and fall risk)
Behavioral health screening (depression, substance use)
Lifestyle factors (diet, exercise, tobacco/alcohol use)
Social determinants of health (housing, transportation, food access)
Advance care planning (optional)