Promoting continuous quality improvement
The Centers for Medicare and Medicaid Services (CMS) Medicare Star Rating program is promotes continuous quality improvement and to recognize and reward health care organizations for demonstrating an increase in performance measures over time.
With an in-depth knowledge of CMS requirements and 10 NCQA-certified HEDIS auditors on staff, Advent’s team of experts can help your organization:
- Identify and improve HEDIS® and MDV performance measures that are most likely to impact overall star ratings
- Discover the root causes of underperformance and develop corrective strategies
- Develop a sustainable plan to drive continuous improvement in care quality, increase ratings and earn greater quality bonus payments
Your star ratings not only impact quality bonus payments, but also membership enrollment as the percentage of Medicare Advantage beneficiaries enrolled in high-performing plans continues to increase. According to the CMS, “the percentage of Medicare Advantage enrollees in four or five star plans has almost quadrupled since 2009 to 71 percent. About one-third of prescription drug plan enrollees are in standalone Part D plans with four or more stars, compared to 27 percent of enrollees in such plans in 2009.”
Contact Advent Advisory Group today and find out how we can help you achieve higher star ratings and compete more effectively in today’s quickly changing health care landscape.
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