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Targeted Measures Slope
Member Experience Impact
Stars Bonus
Value of Selected Measures Per Gap
Competition

Plan Screener

 
 
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Priority Deciles for Filtering and Sorting Contract Details Plan History Star Ratings Financials Based on 2017 Bid and Projected Stars (use with caution) Selected Measures Calculation
  ↓ Priority Rank
Total of the deciles for selected columns
  Targeted Measures Slope
Decile based on this calculation - (1) Use linear regression on the past 4 years of stars results for each measure (2) Take the average for the measures that are configured for your client account.
  Member Experience Impact
Decile of the difference between the actual overall 2022 Star Rating and the rating recalculated with Member Experience at 4x instead of 2x.
  Stars Bonus
Decile of the difference between the 5% Bonus Benchmark (4 Stars) and the 0% Benchmark (< 4 Stars)
Value of Selected Measures Per Gap
Decile of the per member per year value per gap in our internal calculation
  Competition
Decile of the number of plans available (with actual enrolled members) in each county where Plans' members reside.
  Member Experience Impact
Decile of the difference between the actual overall 2022 Star Rating and the rating recalculated with Member Experience at 4x instead of 2x.
  Competition
Decile of the number of plans available (with actual enrolled members) in each county where Plans' members reside.
  Hcontract
Medicare Plan Number
  Population
Current Population
  Marketing Name
Marketing Name
  Parent Organization
Parent Organization/Company
  States
States where members are enrolled
  Size Category
Category of plan size (1k/10k/50k members)
  Age Category
Category of the age of the plan
  Special Needs Plan
Special Needs Plan Y/N
  Population (2021)
Prior Year Population
  Plans Per Member (by county)
** This gets merged wit the decile above ***
  Plan First Year
The first year the plan had members
  Plan First Rating Year
The first year the plan had a star rating
  First Year for Parent Org
First Year for Parent Org
  2018-2022 Star Ratings
Last 4 year's star ratings
  Star Average 2022
Calculated Star Rating w/out adjustments
  Star Average 2021
Calculated Star Rating for 1 Year Ago
  Star Average 2020
Calculated Star Rating for 2 Years Ago For Previous Previous year's Star Average : Sum(Avg Star * star_wt) / sum(star_wt)
  Stars Bonus
Decile of the difference between the 5% Bonus Benchmark (4 Stars) and the 0% Benchmark (< 4 Stars)
  Star Average 2018
Calculated Star Rating for 3 Years Ago
Projected Future Star
Star Rating Calculated from average past measure ratings with future measure weights
  2022 Baseline Benchmark
Weighted average CMS county benchmark without bonus
  2022 5% Bonus (4-Star) Benchmark
Weighted average CMS county benchmark with 5% bonus
Risk Factor 2017
Plan average HCC from 2017 CMS Data
  Rebate 2017
Plan average Rebate from 2017 CMS Data
Profit 2017
Plan average Profit from 2017 CMS Data
Expenses 2017
Plan average Expenses (medical + admin) from 2017 CMS Data
Bonus at Next Star
TBD
  Targeted Measures Slope
Decile based on this calculation - (1) Use linear regression on the past 4 years of stars results for each measure (2) Take the average for the measures that are configured for your client account.
Value of Selected Measures Per Gap
Decile of the per member per year value per gap in our internal calculation
Bonus at Next Star PMPY
TBD
  Targeted Stars List
List of scores for the selected measures
  Targeted Star Avg
Average star rating for selected measures
  Targeted Star Variance
Average difference between Plan's rating and the CMS published average rating for selected measures
Star Rating Trend
35 10 tbd 7 19 H3419 76 Perennial Advantage Perennial Consortium LLC CO-100.0% Tiny New, No Star Rating Yet - 19 2022 2022 No Data,No Data,No Data 5 98.32 tbd 1,057 1,155 tbd tbd tbd tbd tbd tbd
35 10 tbd 8 21.58 H2531 12,185 UnitedHealthcare Community Plan UnitedHealth Group Inc. OH-99.9% Medium 4+ Yrs Old - 13,111 21.58 2014 2012 No Data,No Data,No Data 0 0 84.48 0 tbd 1,028 1,112 tbd tbd tbd tbd tbd tbd
35 tbd H1205 11 Integra Managed Care Personal Touch Holding Corp. Tiny Parent Org Established - 16 2019 2015 No Data,No Data,No Data 4 3 2 0 tbd tbd tbd tbd tbd tbd tbd
35 tbd H2334 15 Clear Spring Health Group 1001 Tiny 4+ Yrs Old - 21 2017 2021 No Data,No Data,No Data 1.6 2 3.62 2.6 tbd tbd tbd tbd tbd tbd tbd
35 10 tbd 10 33.94 H1423 8,114 Amerigroup Anthem Inc. AZ-100.0% Small Parent Org Established - 33.94 2022 2014 No Data,No Data,No Data 5 91.4 tbd 1,005 1,096 tbd tbd tbd tbd tbd tbd
35 tbd H0826 12 Innovative Integrated Health Community Plans Innovative Integrated Health Inc. Tiny New, No Star Rating Yet - 2022 2022 No Data,No Data,No Data 0 tbd tbd tbd tbd tbd tbd tbd
35 10 tbd 10 36.36 H1822 2,021 SCAN Desert Health Plan SCAN Group AZ-100.0% Small New, No Star Rating Yet - 36.36 2022 2022 No Data,No Data,No Data 0 94.89 tbd 1,001 1,095 tbd tbd tbd tbd tbd tbd
35 10 tbd 10 37.47 H3443 1,178 Alignment Health Plan Alignment Healthcare USA LLC AZ-100.0% Small New, No Star Rating Yet - 37.47 2022 2015 No Data,No Data,No Data 0 95.02 tbd 1,001 1,096 tbd tbd tbd tbd tbd tbd
35 10 tbd 6 18.65 H0363 323 Longevity Health Plan Longevity Health Founders LLC CO-100.0% Tiny New, No Star Rating Yet - 18.65 2022 2019 No Data,No Data,No Data 5 97.62 tbd 1,043 1,140 tbd tbd tbd tbd tbd tbd
35 10 tbd 3 14.8 H4699 1,594 Wellcare Centene Corporation RI-100.0% Small Parent Org Established - 14.8 2022 2012 No Data,No Data,No Data 5 86.56 tbd 1,015 1,101 tbd tbd tbd tbd tbd tbd
35 10 tbd 7 19 H3407 51 El Paso Health Advantage Dual SNP El Paso County Hospital District TX-100.0% Tiny New, No Star Rating Yet - 43 19 2020 2020 No Data,No Data,No Data 3 2.5 0 97.18 tbd 1,045 1,142 tbd tbd tbd tbd tbd tbd
35 tbd H4739 34 First Choice VIP Care Independence Health Group Inc. Tiny Parent Org Established - 2022 2015 No Data,No Data,No Data 0 tbd tbd tbd tbd tbd tbd tbd
35 10 tbd 7 19.79 H1375 3,320 UnitedHealthcare UnitedHealth Group Inc. CA-100.0% Small Parent Org Established - 1,459 19.79 2020 2012 No Data,No Data,No Data 3.28 5 0 76.53 tbd 1,024 1,100 tbd tbd tbd tbd tbd tbd HED-CDCA1C:3,HED-COAMR:3,HED-CDCEYE:1,HED-COAPS:2,HED-CDCNPH:3,HED-MPR:1 2.375
H1375target_star_avg_tooltip
-1.788
H1375target_star_variance_tooltip
35 10 tbd 4 16.19 H2624 934 CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA Moses H. Cone Memorial Hospital Corp. NC-100.0% Tiny Parent Org Established - 499 16.19 2020 2016 No Data,No Data,No Data 4 3 0 87.96 tbd 1,012 1,099 tbd tbd tbd tbd tbd tbd HED-COAMR:5,HED-COAPS:5 5
H2624target_star_avg_tooltip
0.6
H2624target_star_variance_tooltip
35 10 10 tbd 8 20.8 H1372 563 AgeRight Advantage Marquis Companies I Inc. OR-100.0% Tiny 4+ Yrs Old - 629 20.8 2017 2017 No Data,No Data,No Data 4.5 4.07 4.26 84.52 3.87 tbd 1,017 1,102 tbd tbd tbd tbd 1.188 tbd tbd HED-COAMR:5,HED-COAPS:5 5
H1372target_star_avg_tooltip
0.6
H1372target_star_variance_tooltip
35 10 10 tbd 10 30.12 H2793 1,716 Imperial Insurance Companies Inc Imperial Health Plan of California TX-49.6%,AZ-49.4%, 1 others - 0.9% Small New, No Star Rating Yet - 1,756 30.12 2019 2018 No Data,No Data,No Data 2.61 1.74 2 78.35 0 tbd 1,036 1,115 tbd tbd tbd tbd tbd tbd HED-MPR:1,HED-CDCEYE:1,HED-CDCNPH:3,HED-COL:1,HED-CDCA1C:5,HED-COAPS:2,HED-COAMR:2 2.778
H2793target_star_avg_tooltip
-1.356
H2793target_star_variance_tooltip
35 tbd H3274 12 Align Senior Care Innovative Long Term Care Management Inc. Tiny New, No Star Rating Yet - 2022 2020 No Data,No Data,No Data 0 tbd tbd tbd tbd tbd tbd tbd
35 10 tbd 7 19.77 H4304 1,218 Advantage U University of Utah UT-100.0% Small New, No Star Rating Yet - 19.77 2022 2022 No Data,No Data,No Data 3.5 90.96 tbd 1,008 1,099 tbd tbd tbd tbd tbd tbd
35 10 tbd 5 16.71 H4343 1,051 Ascension Complete Centene Corporation AL-100.0% Small Parent Org Established - 16.71 2022 2012 No Data,No Data,No Data 5 86.42 tbd 1,055 1,141 tbd tbd tbd tbd tbd tbd
35 10 tbd 7 19.43 H2853 1,006 Ascension Complete Centene Corporation TN-100.0% Small Parent Org Established - 19.43 2022 2012 No Data,No Data,No Data 5 94.17 tbd 1,030 1,124 tbd tbd tbd tbd tbd tbd
plan_screener_reports
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Star Rating Trend