How do plans generally assess risk levels for CSNP or DSNP members?

Plans typically assess risk levels for Chronic Special Needs Plans (CSNP) or Dual Special Needs Plans (DSNP) members primarily through ongoing health assessments. These assessments provide a comprehensive evaluation of each member's health status, including chronic conditions, social determinants of health, and any other factors that may affect their overall well-being.

By regularly collecting and analyzing health data, plans can identify current health issues and anticipate future needs. This enables them to tailor care management and resources effectively, ensuring that members receive appropriate interventions and support. Ongoing health assessments help in creating personalized care plans, which are critical for managing the complexities associated with chronic or dual eligibility situations.

Other methods, such as periodic feedback from members, can provide valuable insights but may not offer the structured and systematic understanding needed for thorough risk assessment. Similarly, relying solely on physician referrals or annual health fairs would not provide the continuous monitoring necessary to closely observe the dynamic health status of members in these specialized populations.