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