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Tools to Raise Star Ratings in the Age of Covid-19

Posted By: Kathy Lester  On : September 16 2020
Covid calander recovered

Recent guidance from the Center for Medicare and Medicaid Services (CMS) indicates that even during the pandemic that is Covid-19, they expect MAPD health plans to continue to emphasize clinical and service quality. CMS also indicates that they expect data collection for HEDIS® measures to “return to normal” in 2021.

 

Whether there is a return to normal or not, it is clear that CMS expects that health plans will be able to generate HEDIS® reports in 2021 related to care given in 2020. Plans need to be taking action now to both assure members are gett

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Covid-19, 2022 Star Ratings, and What’s Left for 2020

Posted By: Kathy Lester  On : September 16 2020
Covid calander recovered

 

The Covid-19 pandemic has had a sudden and far-reaching impact on Medicare Advantage Star Ratings. CMS will shortly publish 2021 Star Ratings including numerous adjustments for data that was not collected due to the pandemic.  CMS has also shared their plans for 2022 Star Ratings - how they will score the quality of care and service occurring in this unprecedented year.  In this post, Baltimore Health Analytics shares the key points of the communication and guidance from NCQA® and CMS regarding this year and what levers may still be pulled in the

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The Stars Planner Demo

Posted By: Jordan Byrd  On : July 27 2020
Stars demo ad

BHA creates innovative tools for managing Star Ratings.  Our leading product, the Stars Planner is free to use and we just added our first video tutorial!

 

The Stars Planner is all about visualizing the way individual measure goals fit together to impact the plan’s Star Rating and CMS bonus.  It’s interactive -- start with published CMS star ratings data for your plan and your competitors -- then use it to figure out where to improve.  It keeps tally, shows historical trends, and allows experimentation with measure goals to get the best plan f

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Rover Transitions

Posted By: Jordan Byrd  On : July 23 2020
Rover transitions

Introducing BHA’s Rover-Transitions.

 

When it comes to Stars and HEDIS®, health plans can’t always assume the network is addressing every gap in care.  Sometimes you need your own staff to work the phone to get the job done.  You can try to run a campaign from spreadsheets, or you can try to adapt an overly complex care management system that doesn’t really solve the right problem.  But if you want to maximize results with minimal effort, the best solution is a system that is designed specifically for the campaign yo

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Update on the CMS 2020 Announcment

Posted By: Jordan Byrd  On : June 04 2020
Impact weight 2020

CMS is changing Star Ratings.  The Member Experience and Access categories are jumping from 1.5x to 2.0x this fall.  That’s significant, but the really big news in the Final Rule released on Friday May 22 (2020) is that they’ll be jumping again to 4x next year.  What will the impact of that move be?  Read on to learn more.

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