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Details on CMS 2020 Announcment

Posted By: Jordan Byrd  On : May 21 2020
Cms update covid


On April 6, 2020 CMS announced significant to star ratings changes due to COVID-19:

  • HEDIS uses 2018 Dates of Service for 2021 Star Ratings.
  • CAHPS uses 2018 Dates of Service for 2021 Star Ratings.
  • Possibly of foregoing a 2020 HOS survey and use last year's results for the 2022 and 2023 Star ratings.


In the April Call Letter, CMS confirmed the f

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Which Cupoints are the Hardest to Achieve?

Posted By: Jordan Byrd  On : April 10 2020

Which CMS MA Star Measures have the hardest cutpoints to achieve?  One can’t just compare the cutpoints directly -- it’s far easier to get 10 more BMIs than 10 more cancer screens. 


There are different ways to answer the question, the simplest is to look at the mean Stars that CMS publishes.  A richer analysis that we find helpful is to use percentiles to normalize the cutpoints across all measures.  Then you can visually compare all cutpoints for all measures at once.


For example the 5 star cutpoint for C04 Improv

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BHA Improving Quality Scores

Posted By: Jordan Byrd  On : March 17 2020

One of the largest insurers in the country, a 5-state blue, knew their members were getting high quality care. But their Star Ratings and HEDIS® hybrid scores in Medicare Advantage weren’t showing that.  They asked Baltimore Health Analytics if we could help them and we did.


We have an ongoing engagement, but we wanted to share how we’ve worked together with BHA’s tools to markedly improve their quality scores.  The truth is, we’re more heavily engaged than ever, now working with their other lines of business.  It’s beco

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Cutpoint changes impact on 2020 Stars

Posted By: Jordan Byrd  On : November 16 2019

BHA Stars Planner Charts Path to 4+ Stars

Posted By: Jordan Byrd  On : October 17 2019


We've all seen the articles flooding social and professional media, regarding the shift in enrollment weighted PDP contracts.  After all, it was a big move to 4-Star plans!

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Part-C 2019 Cut Points

Posted By: Jeff Schoenborn  On : October 26 2018

During our analysis of the 2019 Cut points, we decided to share our thoughts on the subject. Baltimore Health Analytics is a fast-growing start-up company focused on consulting, app development, and data analytics in the realm of Medicare analytics quality metrics. This year we decided to analyze  the new cut-point changes from 2018-2019 in Part-C metrics. 


The graphs below display the 2018 to 2019 percent change of cut-points for each measure in Part-C, displaying a separate graph for each Star Rating. The red bars pictured represent data for measures increasing in difficulty, i.e. higher thresholds; while green bars will represent data related to lower thresholds. Numerous factors may alter a measure’s outcome for a health plan. Therefore, it is important to analyze these changes for opportunities to improve measure scores and overall performance.

2 Stars

The most noticeable change for the 2-star cut-poi

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Now Including 2019 CMS Data

Posted By: Jeff Schoenborn  On : October 23 2018

Our new Tools Now Including the lastest  CMS Data. Demo our free tool today.

Stars planner

The BHA Stars Planner is updated with 2019 Medicare Star Ratings results and new measures! The tool is still completely free. Test scenarios for getting your h-contract to 4 Stars using peer contracts for comparison.

BHA is  pleased to announce that we've incorporated the newly released 2019 CMS Stars ratings data into our tool set. Who are the top performers? Who improved and declined? You can see all the details from UHG, Humana, Aetna, Cigna, Kaiser, Blue Cross, etc -- Star ratings for every measure in an interactive and easy use dashboard.

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Future Statin Measures Cutpoint Predictions

Posted By: Jeff Schoenborn  On : April 20 2018
Untitled  stat1

Advance Notice

Posted By: Jeff Schoenborn  On : February 02 2018

CMS released the MA Advanced Notice yesterday. The biggest stars announcement is that HPC is being pushed back until 2022. CMS wants to include observation stays because than

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Cutpoint Percentiles by Measure

Posted By: Jeff Schoenborn  On : January 22 2018
Cutpoint percentile blog

We know that CMS “grades on a curve” each year to decide cutpoints for each measure following a complex “clustering” method described in the tech spec

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