Baltimore Health Analytics

Star Ratings

Medicare Star Ratings Consulting, Data Systems Design, Clinical Dashboards and Analytics, Quality Management, Population Health Strategy, Intervention Optimization.

Baltimore Health Analytics

Clinical Data

Medicare Star Ratings Consulting, Data Systems Design, Clinical Analytics, Quality Management, Population Health Strategy, Campaign Targeting.

Baltimore Health Analytics

Quality Metrics

Medicare Star Ratings Consulting, Data Systems Design, Clinical Analytics, Quality Management, Population Health Strategy, Campaign Targeting.

Lots of companies can create a report, a file or a database. What makes us special is our range of skill from clinical strategy to software design and from analytics to execution. We have the nimbleness of a small company and the specialized knowledge one gets from creating a plan's Stars competency from scratch. Our philosophy is that you should always be looking for your next "best move" but also that Stars moves at a pace where you need the next and the next move queued up to execute before the opportunity closes. Baltimore Health Analytics can help. We will meet you were you are, fill in wherever help is needed, and pivot to wherever the opportunity is greatest.

Our Tools and Products

Stars Improvement

Phased Approach

Our 4 step approach can be tailored your specific needs. It all stars with a rapid initial evaluation that includes an analysis of scores, comparison of each measure to to peer averages with benchmarks, review of score and threshold trends, analysis of the 5x weighted improvement measures, and a review of current systems, interventions, targeting criteria, timeliness, data and operations.

Our goal is to get in and out with the evaluation as quickly as possible. To achieve that, Baltimore Health Analytics developed a "Stars Cookbook" that facilitates the review of your plan. This cookbook includes report templates, references, tips, powerpoint templates, and structured interview instruments for each area of your stars operation and strategy.

Some plans just need the evaluation report to accelerate their own internal quality improvement efforts. Others want our help planning and building out their Stars analytics and infrastructure. We will leverage your existing strengths and supplement it with our end-to-end strategic, analytical and technical skills.

Clinical Analytics

  Create real-time medication adherence tracking. Devise strategies that address data quality, timing, and measure quirks.   Apply analytics to your HEDIS® chart chase. Make sure your team is going all out for the members, providers and measures where there is still an opportunity to improve scores.
  Assign members to clinical campaigns. Automate eligibility lists for prioritizing members by likely differential impact and per member next best action.   Collate member and provider contact information across enrollment, claims, clinical and other systems to determine the most up to date, second best, etc.
  Turn your claims and enrollment data into a robust clinical data warehouse.   Create dynamic member eligibility for you clinical intervention strategy.
  Build daily updated quality measures eligibility and numerator tracking into your existing datawarehouse. Create proxy measures from available data.   Create a daily/weekly admission tracking dashboard with trends by condition and source of admission.
  Build out automated dashboards for clinical trends including costs, hospitalizations and readmissions.   Deep dive into your "potentially avoidable hospitalization" data to identify trends,causes and risks.

Team

Jeff

Founder, CEO, Software Architect

Jeff has spent 20 years as a software developer, architect, analyst, and as a health plan leader. He is our resident expert on Star Ratings - from analysis and strategy to reporting, data and algorithms.     in

Kathy

Director of Healthcare Quality Consulting

Kathy Lester comes to BHA with a long career in Healthcare Quality Improvement. She has 20+ years of HEDIS experience, as well as expertise related to CAHPS and HOS execution and improvement. Kathy has been working with Medicare Advantage Star reporting since its inception, both from within a healthplan and as an Improvement Consultant.

Pushpa

Director of Software Development

Pushpa leads the analytics, reporting and data algorithm development. She has 12 years of experience in data analysis, including 6 years in the healthcare industry and Stars. She has created key reports and workflow tools for managing health plan nurses and pharmacy claims review.

Curt

Manager - Health Plan Analytics

Curt brings 20 years’ experience with health plan analytics for small, medium and large Medicare and Medicaid organizations. Most recently Curt led a team of analysts and engineers that handled enrollment, appeals and CTM reporting. He is pursuing an MBA in Data Analytics.

Bala

Lead Engineer - UI

Bala has 14 years of software development, notably as an Open Source Architect, a Web Programmer and a Drupal Expert. At Baltimore Health Analytics, he leads the development of our web analytics and Stars tools.

Jordan

Software Engineer

Jordan assists in designing, implementation, and project management while also building front-end systems and abstractions used to view and analyze Star Ratings. He is a self taught web developer and proudly holds two degrees from both Morehouse College and Tuskegee University.

Afsal

Senior Software Engineer

Afsal is a former robotics engineer and boasts 6 years of experience working as a developer in various capacities. He carries a strong knowledge of scripting from his mastery of languages such as Python and a grasp of PLC programming. At Baltimore Health Analytics, he helps to write and manage our backend data tools using our current stack in Perl.

Pradeep

Software Engineer

Pradeep works as our front-end engineer possessing a strong base in languages such as PHP. He carries 3 years of experience working as a web developer for various institutions. At Baltimore Health Analytics, he helps to design and maintain our front-end applications and crafts user interface for optimum efficiency.

Tamil

Senior System Engineer

Tamil works as our UI engineer possessing a strong base in Front-end UI experience. He carries 7 years of experience working in languages like HTML5, CSS3, JQuery, PHP, etc. At Baltimore Health Analytics, he helps to design and maintain UI for our applications.

Copyright © 2019 Baltimore Health Analytics LLC. All Rights Reserved.

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Other Star measures are copyrighted by their respective owners; please see www.cms.gov for details.