Securing top Star Ratings: How Medicare Advantage plans are innovating to boost quality, outcomes, and growth

Description

Enrollment, bonus payments, reputation — many growth opportunities hinge on Star Ratings. As payer organizations navigate a competitive landscape, it's crucial they take a proactive approach to improving their performance and the quality of care their members receive. Some organizations are streamlining their processes for identifying where members may experience gaps in care due to lag times, improper coding and lack of visibility to location and clinical status.

In this interactive session, you'll learn how payers are forging partnerships to help:

• Identify members needing follow-up care based on HEDIS measures

• Use real-time notifications to enable proactive intervention

• Send discharge summaries to network providers to support patient engagement for identified follow-up care and medication reconciliation

• Use HEDIS specifications to streamline provider performance monitoring and comprehensive reporting.