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November 20 2023

Health Equity Index

Posted By: Ronak Bavishi  On : November 20 2023

What is the HEI?

 The HEI is a proposed bonus ranging from 0 to 0.4 added directly to each plan’s raw star rating based on two things: (1) the percentage of members that either are disabled or have Low Incoming Subsidy or Dual Eligibility, and (2) the number of measures in which the plan scored well for this subset of members.

 

Please navigate to https://baltimorehealthanalytics.com/websiteblog/tutorial/health-equity-index to read the full content!

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November 20 2023

2025 Medicare Advantage Proposed rule

Posted By: Ronak Bavishi  On : November 20 2023

BHA looks into the key proposed changes by CMS for 2025 Medicare Advantage, especially from Stars angle!

 

Medicare Advantage: Unveiling the 2025 Proposed Rule by CMS! 

 

The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Advantage (MA) Proposed Rule.

In the proposed Rule places a spotlight on critical aspects, demonstrating CMS's commitment to improving health equity, restricting broker marketing practices, and expanding access to behavioral health services. We also saw some important announcements related to Star ratings!

 

Diving into the proposed Stars changes: What You

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December 12 2022

Reward Factor Analysis

Posted By: Suruthi K  On : December 12 2022

 The importance of the Reward Factor for acheiving 4.5 and 5 Stars in the Medicare Advantage Star Ratings system.

 Author’s Note

DUOS invited me to join Eric Santa and Martha Osos in writing their December 2022 Insight Briefing in which we showed the importance of the Reward Factor in Medicare Advantage Star Ratings.  This blog is a companion “deep dive” into the math that didn’t belong in the briefing format.

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September 09 2022

Update on CMS 2023 Cutpoints

Posted By: Suruthi K  On : September 09 2022

 

 

2023 Cutpoints are Up! You can find all of 2023 cutpoints in BHA's measure browser w/graphs to show the long term trends. Especially check out what's happening with Medication Adherence.

 

Click on this link to explore the cutpoints changes Measure Details 2023

 

Email us for additional information, a live demo of our software, and assistance in charting your path to 4 (or more) Stars!

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September 01 2022

Why is everyone sweating about 2023 Stars?

Posted By: Suruthi K  On : September 01 2022

 

I received this email last week:

 

Subject: Quick Stars Question

 

I’ve heard from several health plans with concerns over Stars scores falling off next year. Is there anything explicitly related to the Public Health Emergency that caused Stars scores to increase this year? Or was CMS just more favorable with scoring / cutoffs given COVID concerns.

 

My quick response was:

 

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Stars Planner
Chart out a realistic plan to achieve 4 Stars with at-a-glance access to historical performance by measure for your contract and average scores for your competitors and peer organiztions. It is an interactive dashboard that keeps a tally while you set goals for each measure.
Contract History
Use this tool to show the history of all contracts within an organizantion and visualize how they have grown and merged while Star ratings have changed over time. Quickly compare the scores and star ratings for several contracts or compare the same contract for two years.
Star Measure Details
Quick lookup for all Star measures with CMS documentation.
Map of Medicare
Click here to get a snapshot of all Medicare Advantage plans by size and Overall Star ratings. Drill into details or change the measure displayed. You can page through prior years and quickly understand how Star ratings have changed over time.
State MA Population
Quick lookup for Medicare Advantage populations by state.
Quick Contract List
Click here to get a searchable list of all 2024 CMS Medicare Advantage contracts. From here you can view star ratings and population demographic, or you can launch our other tools for deeper analysis.
Computer Aided Abstraction
The BHA Ocular is used to read the text from any images or any scanned documents or any hand written papers or printed papers. This is mainly used in any kind of images containing written text into machine-readable text.
Health Data Management
Healthcare data is full of idiosyncrasies and our web applications are full of healthcare data. When you engage Baltimore Health Analytics on a project, you get the benefit of our years of experience solving the challenges that these present. Along with that, we have a library of programs that save time by solving very specific problems that we see again and again.
Transition Care Management
A system to manage the work health plans do to improve the NCQA HEDIS Transitions of Care measure and CMS Star Ratings.