Which Cupoints are the Hardest to Achieve?

Posted By: Jordan Byrd  On : April 10 2020
2020partc

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
2020graph

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
Cutpointimpacts

BHA Stars Planner Charts Path to 4+ Stars

Posted By: Jordan Byrd  On : October 17 2019
2020starsplanning

 

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. 

1

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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