STAR RATINGS - Because average just isn’t good enough

STAR RATINGS

Because average just isn’t good enough

The Medicare ADVANTAGE (MA) Health plans’ Star strategy continues to be critical to its implementation, success and survival.  For a MA Plan to receive a bonus it means an immediate and successful execution of a multi-disciplined strategy across departments.  It’s easier said than done.

CMS will continue adjusting thresholds, curving the Star Ratings year after year in an effort to separate the remarkable from the ordinary.  Now is a critical time – MA Plans must examine not just this year’s score and what contributed to it, but their Plan’s score history in the Stars program and what it says about the enterprise’s overall approach to key issues such as:

• Quality of care,

• Provider contracting and management,

• Data management,

• Member services and engagement,

• Model of care,

• Pharmacy management, and

• Risk adjustment

HPP Management Group, Corp., has been working on the critical factors that drive your Stars score for more than 15 years.  Since the inception of the Star Bonus Program, we have supported dozens of clients, including small regional plans, multi-market players, and multiple Special Needs Plans (SNPs).  We know what works and what doesn’t, and we see where MA health plans continue to miss real opportunities to greatly impact their Star score.

Now that we’re in the home stretch of the Bonus Program, there is no time to delay. Today you need to identify opportunities to increase your score for 2016, implement an enterprise-level strategy, and carefully monitor your progress over the next plan year.  We can help you every step of the way.

ONE-STOP ACCESS TO EXPERT ADVICE - Guidance and support in every strategic and operational area in Government sponsored health programs:

·         We understand health care operations because we have been there. Our team has more than 36 years combined experience working within some of the largest and top performing health care organizations in the business.

·         Let us use our expertise and knowledge to help you improve your organization in terms of efficiency, accuracy, compliance and quality. Our professional consultants are ready to assist you attain your goals.

·         We have a variety of experts in the following areas:

§  Compliance

§  Medical record abstraction

§  Information Systems operations

§  Improving your HEDIS reporting process

§  Quality Improvement initiatives

§  Accreditation

§  Various Quality Measures (PQRS / ACO /NQF)

§  Evaluation of business performance

§  Managing internal audit projects

HPP Management Group, Corp, is the solution to the Health Industry as we know it today

Measure / Improve / Grow

For more details contact us:

HPP Management Group, Corp.

5201 Blue Lagoon Dr.

Suite 815

Miami, FL 33126

305-227-2383 or 1877-938-9311

psilben@hppcorp.com

Don't Lose 9% of Your Medicare Payments.

Don't Lose 9% of Your Medicare Payments.

Are you prepared for payment reform? With HHP Management Group, you won’t need to. We’ll guide you to success, and make sure you avoid penalties for PQRS, MU, MIPS and more programs.

With PQRS, Meaningful Use, and new incentives there for the taking, there’s significant value-based revenue on the line for providers.

If the government gives you money, you can expect that it will look to audit your results. Since 2011, CMS has disbursed nearly $20 Billion under the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs, to nearly half a million eligible professionals. It should come as no surprise that CMS now intends to audit at least 5% of Meaningful Use attesters. And the early results are not positive as nearly a quarter of professionals audited to date have failed! The audits are required by the Health Information Technology for Economic and Clinical Health Act, which created the Meaningful Use Incentive program.

Your solution:  HPP Management Group, Corp.

For details contact HPP Management Group, Corp: 786-231-7585  or 305-227-2383

pesilverio@hppcorp.com