Should applications be submitted with no primary care provider identified for higher-risk members?

Submitting applications for higher-risk members with a primary care provider (PCP) identified is crucial for several reasons. A primary care provider plays a key role in managing the health of a patient, especially for those categorized as higher risk, who often require more coordinated and comprehensive care. Identifying a PCP ensures that these members have a designated healthcare professional who can oversee their treatment plans, monitor their health status, and provide necessary referrals to specialists.

Furthermore, having a PCP identified can enhance care continuity and improve health outcomes by fostering an ongoing patient-provider relationship. It allows for better management of chronic conditions and helps in the prevention of unnecessary hospitalizations or emergency room visits.

In summary, having a primary care provider identified in applications for higher-risk members is essential for facilitating appropriate care management and ensuring that the individual receives the necessary support for their health needs.