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)
  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 (2022)
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
  2019-2023 Star Ratings
Last 4 year's star ratings
  Star Average 2023
Calculated Star Rating w/out adjustments
  Star Average 2022
Calculated Star Rating for 1 Year Ago
  Star Average 2021
Calculated Star Rating for 2 Years Ago For Previous Previous year's Star Average : Sum(Avg Star * star_wt) / sum(star_wt)
  Star Average 2019
Calculated Star Rating for 3 Years Ago
Stars Bonus
Decile of the difference between the 5% Bonus Benchmark (4 Stars) and the 0% Benchmark (< 4 Stars)
Projected Future Star
Star Rating Calculated from average past measure ratings with future measure weights
  2023 Baseline Benchmark
Weighted average CMS county benchmark without bonus
  2023 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.
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
2 1 1 20.42 H1977 4,491 Upper Peninsula Health Plan (UPHP) MI Health Link DLP Marquette General Hospital LLC MI-100.0% Small 4+ Yrs Old No 4,466 20.42 2014 2016 No Data,No Data,No Data 0 0 0 0 33.37 tbd 1,036 1,069 tbd tbd tbd tbd tbd
2 1 1 22.96 H3186 182 Sanford Health Plan of Minnesota Sanford Health MN-100.0% Tiny New, No Star Rating Yet No 196 22.96 2022 2020 No Data,No Data,No Data 3.5 0 9.8 tbd 1,043 1,053 tbd tbd tbd tbd tbd
2 1 1 21.18 H1395 1,778 Wellcare Centene Corporation NE-100.0% Small Parent Org Established No 1,984 21.18 2022 2009 No Data,No Data,No Data 3 0 27.62 tbd 1,034 1,062 tbd tbd tbd tbd tbd
2 1 1 23.72 H0907 3,161 Amerigroup Iowa Elevance Health Inc. IA-100.0% Small New, No Star Rating Yet No 4,535 23.72 2021 2023 No Data,No Data,No Data 3.91 5 0 30.611 tbd 983 1,014 tbd tbd tbd tbd tbd PQA-CHOL:4,PQA-HTN:3,PQA-DIAB:2 3 -0.167
2 1 1 20.9 H7360 729 Wellcare by Health Net Centene Corporation CA-100.0% Tiny Parent Org Established No 773 20.9 2022 2009 No Data,No Data,No Data 3 0 18.52 tbd 1,062 1,081 tbd tbd tbd tbd tbd
2 1 1 25.2 H9489 472 Vermont Blue Advantage Blue Cross Blue Shield of Michigan Mutual Ins. Co. VT-100.0% Tiny New, No Star Rating Yet No 470 25.2 2021 2020 No Data,No Data,No Data 4.5 5 0 13.65 tbd 1,011 1,025 tbd tbd tbd tbd tbd PQA-CHOL:5,PQA-HTN:5,PQA-DIAB:2 4 0.833
1 1 H9589 67 Clear Spring Health Group 1001 Tiny 4+ Yrs Old No 63 2017 2021 No Data,No Data,No Data 2.27 2.13 3 3.9 tbd tbd tbd tbd tbd 0.405 tbd PQA-CHOL:1,PQA-HTN:2 1.5 -1.75
0 H0826 12 Integrated HealthPlan Innovative Integrated Health Inc. Tiny New, No Star Rating Yet No 11 2022 2022 No Data,No Data,No Data 1 0 tbd tbd tbd tbd tbd tbd
0 H4739 34 First Choice VIP Care Independence Health Group Inc. Tiny Parent Org Established No 35 2022 2016 No Data,No Data,No Data 4.5 0 tbd tbd tbd tbd tbd tbd
0 H5528 39 EmblemHealth Medicare PPO EmblemHealth Inc. Tiny Well Established No 39 2009 2011 2009 No Data,No Data,No Data 0 0 0 0 tbd tbd tbd tbd tbd tbd
0 H7076 31 CareSource CareSource IN-100.0% Tiny Parent Org Established No 31 2021 2009 No Data,No Data,No Data 3.94 4.5 0 tbd tbd tbd tbd tbd tbd PQA-HTN:2,PQA-CHOL:3 2.5 -0.75
0 H2334 15 Clear Spring Health Group 1001 Tiny 4+ Yrs Old No 12 2017 2021 No Data,No Data,No Data 2.78 1.6 2 3.62 tbd tbd tbd tbd tbd tbd
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Star Rating Trend