HEDIS-ready home screening

Lift your measures, at home, at scale.

Home-based screening built from the ground up for Medicaid populations. Bilingual outreach, clinically validated cadence, measure-aligned documentation—delivered as a contracted clinical service, not a platform your team has to learn.

Request a capabilities call See the measures

01The measures

Three screenings. Three HEDIS measures.

We deliver documented completion of the measures that matter most to Medicaid plan performance, quality bonuses, and member outcomes. Every result maps cleanly to the supplemental data workflows your quality team already runs.

HEDIS COL

Colorectal cancer screening

FIT-based completion for members ages 45 to 75. Abnormal findings routed to in-network diagnostic colonoscopy, with closed-loop tracking to resolution.

HEDIS HBD

Hemoglobin A1c control for members with diabetes

At-home capillary sampling with lab-quality reporting. Out-of-range results escalate to the member's primary care team with structured summary.

HEDIS KED

Kidney Health Evaluation for patients with diabetes

Annual ACR urine testing. The most persistent measure gap in Medicaid, and the one most responsive to home-based collection.

02The fit

Built for the populations traditional outreach misses.

The members with the widest measure gaps are the members hardest to reach through conventional channels. Our model is designed specifically for them, not retrofitted from a commercial product.

Member-first, not portal-first.
Outreach starts with SMS on the phones members actually use. No app install. No patient portal. No printed letter. English and Spanish native across every workflow, with member preference persisted from the first response forward.
Designed for low-frequency contact.
Cadence of Day 0, 3, 7, 14, and 28 with identity verification, pre-screening questions, and scheduling all conducted by SMS conversation. Every message written at fifth-grade reading level.
Risk stratification before kit shipment.
Pre-screening questionnaire identifies high-risk members who need diagnostic workup rather than a FIT kit. This is a clinical safety feature passive mail programs do not have.
Follow-up that closes the loop.
Abnormal results trigger an automated workflow: physician review, member notification, appointment scheduling (video or phone), and closed-loop tracking of diagnostic follow-up completion.

03The partnership

What you get. What we need.

We designed the engagement to fit the operational shape of a Medicaid plan. Light on your team's time, clean on your supplemental data, flexible on contracting.

What you get

HEDIS measure closure
Structured documentation for COL, HBD, and KED, mapped cleanly to supplemental data workflows.
Segment-level reporting
Monthly dashboards on reach, completion, result distribution, and gap closure by product, line of business, and market.
Flexible contracting
Per-completion, PMPM, or hybrid structures designed to fit product-level margin requirements.
Fast in-market
First member outreach in weeks two to four. Steady-state cadence by week six. In-market inside a current measure year.
NCQA-ready audit trail
Full audit log of every touchpoint, result, and clinical decision. Documentation structured for supplemental data validation.

What we need

A member attribution file
Attribution, demographics, and contact information for the segment you want us to engage. Secure file transfer or API.
A Business Associate Agreement
Standard BAA executed in week one.
A supplemental data intake path
Our outbound documentation format mapped to the path your quality team already uses for supplemental data.
One quality lead as point of contact
A single point of contact on your quality team for escalation and coordination.

04FAQ

Questions plan leaders ask us first.

We deliver structured results in the format your quality team uses for supplemental data submission. For each completed screening, you receive the member identifier, CPT and LOINC codes, result values where applicable, and the ordering provider information needed for NCQA validation. The format is configured during onboarding to match your existing supplemental data path, whether that is HL7, flat file, FHIR, or a plan-specific API.

Robinhood Health is a virtual medical group. Our physicians sign every order and are documented as the ordering provider on all results. This supports HEDIS chase-list accounting and ensures each completion has an identifiable clinician behind it.

Yes. Most partnerships begin with a segment definition that reflects the plan's priorities: never-screened members, rising-risk, specific geographies, or members in a particular product line. Sherwood filters the eligible population against HEDIS eligibility criteria and delivers the intersection. Member lists can be updated monthly, quarterly, or per measure year.

We operate as a contracted clinical service, not a replacement medical home. Outreach is identified as coming from the member's plan or from their primary care provider, depending on the structure the plan prefers. Abnormal results are routed back into the plan's existing care coordination workflow and the member's PCP network.

First outreach goes out in weeks two to four from contract execution. Steady-state cadence is established by week six. The critical path is BAA execution and data format alignment; once those are complete, Sherwood is ready to enrich the first cohort immediately.

Sherwood queries Carequality and Commonwell to pull each member's full clinical history. Members who have already received an in-date screening through another vendor or provider are not identified as overdue, and will not be outreach targets. This prevents redundant testing and outreach fatigue, and respects any existing partnerships you already have in place.

05 / Next step

Tell us about your measure year.

A 30-minute capabilities call walks through measure priorities, target segment sizing, and a population-specific gap-closure estimate for your book of business.

Request a capabilities call

or write to info@robinhoodhealth.co