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Stars 101: The “Nuts and Bolts” Behind Star Ratings

Event Date: 3/14/2018

Event Overview

Wednesday, March 14, 2018
1:00 CT – 2:30 CT (90 minutes)

Overview

Melissa Smith, Gorman Health Group Vice President of Stars and Quality Innovations with Gorman Health Group will review the technical construct of the Star Ratings program.  Topics to be covered during this session include the following; 
-        The technical Star Ratings framework and data sources
-        Methodology used to assign Star Ratings
-        Methodology for calculating summary and overall ratings
-        Financial implications of Star Ratings
-        Description of the measures comprising the Star Rating

 

Audience

This session is designed for Medicare Program Managers, Quality, Customer Service and Finance executives in addition to others in your organization who have an interest in a learning more about or refreshing their knowledge of the technical construct of the Star Ratings system.  Team members who are new to Star Ratings will also gain a deeper understanding of the program.  

 This event is hosted on our Readytalk platform.

 

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Documents
3/23/2018

Recording: Stars 101: The “Nuts and Bolts” Behind Star Ratings 031418
During this session, Melissa Smith with Gorman Health Group will share a review of the technical construct of the Star Ratings Program

3/14/2018

Recording: The Nuts and Bolts Behind Star Ratings
During this session, Melissa Smith with Gorman Health Group will share a review of the technical construct of the Star Ratings Program.

3/13/2018

Presentation: Star Ratings 101 - The Nuts and Bolts Behind Star Ratings
Melissa Smith provides an overview of the CMS Medicare Advantage Star Ratings Program - Star Ratings 101

Attendees

Below is a list of all delegates registered to date for this event

  • Pooja Cherukuri
  • ALLIANCE GUEST
  • Data Analyst at Health Alliance Plan (HAP)
  • Heather Clark
  • ALLIANCE GUEST
  • Director, Quality Management at PreferredOne
  • Jana Pennington
  • ALLIANCE GUEST
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Andrea Walker
  • ALLIANCE GUEST
  • Case Mgt Liaison at Health Alliance Plan (HAP)
  • Lori Asmus
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Network Health
  • Kevin Attride
  • ALLIANCE MEMBER
  • Regional AVP, Network Strategies at Adventist Health Plan
  • Kelly Barta
  • ALLIANCE MEMBER
  • Part D Formulary Manager at Health Alliance Plan (HAP)
  • Trent Began
  • ALLIANCE MEMBER
  • AVP Finance at Samaritan Health Plans
  • Celia Bishop
  • ALLIANCE MEMBER
  • Quality Consultant at SelectHealth
  • Barbara Boardman
  • ALLIANCE MEMBER
  • Medicare Quality Manager at Samaritan Health Plans
  • Keith Boell
  • ALLIANCE MEMBER
  • Quality Medical Director at Geisinger Health Plan
  • Pamela Bower
  • ALLIANCE MEMBER
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Deborah Chambers
  • ALLIANCE MEMBER
  • AVP Quality Data Management at Fidelis Care New York
  • Mai Chang
  • ALLIANCE MEMBER
  • Director, Quality and Process Improvement at Santa Clara Family Health Plan
  • Deborah. Coakley
  • ALLIANCE MEMBER
  • Director of Risk Adjustment Programs - Operations at Baylor Scott & White Health Plan
  • Brian Crocker
  • ALLIANCE MEMBER
  • IS Business Systems and QAA I at Network Health
  • Shannon Croft
  • ALLIANCE MEMBER
  • HFHP Associate Business Analyst at Health First Health Plans
  • Linda Cummings
  • ALLIANCE MEMBER
  • Lead Clinical Quality Examiner at MetroPlusHealth
  • MiQuelle Dearden
  • ALLIANCE MEMBER
  • Quality Consultant - Registered Nurse at SelectHealth
  • Davy Diongson
  • ALLIANCE MEMBER
  • Director, Stars Program at Fidelis Care New York
  • Kim Doss
  • ALLIANCE MEMBER
  • Quality Program Coordinator at Network Health
  • Charissa Drake
  • ALLIANCE MEMBER
  • Contract Compliance Manager at Sentara Health Plans (Optima)
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Mike Eaton
  • ALLIANCE MEMBER
  • Director of Pharmacy Government Programs at SelectHealth
  • Michele Eggers
  • ALLIANCE MEMBER
  • Supervisor Quality Health Integration-Clinical at Network Health
  • Jeremy Fejfar
  • ALLIANCE MEMBER
  • Pharmacy Director Government Programs at Quartz Health Solutions
  • Doris Garcia
  • ALLIANCE MEMBER
  • Startegic Account Operations Manager at Health First Health Plans
  • Julia George
  • ALLIANCE MEMBER
  • Compliance Manager at Sentara Health Plans (Optima)
  • Kena Hahn
  • ALLIANCE MEMBER
  • Director- Medicare Stars and Outpatient Care Coordination at Health Alliance Medical Plans
  • Colleen Haller
  • ALLIANCE MEMBER
  • Director of Quality at Community Health Plan of Washington
  • Glenn Hamburg
  • ALLIANCE MEMBER
  • Chief Information Officer at Western Health Advantage
  • Dominic Henriques
  • ALLIANCE MEMBER
  • Chief Development Officer at Prominence Health Plan
  • Susan Herbert
  • ALLIANCE MEMBER
  • Director, Health Plan Integration & Development at AdventHealth (FHHS)
  • Sally Hinkle
  • ALLIANCE MEMBER
  • AVP, Clinical Quality management at Fidelis Care New York
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Marci Howard
  • ALLIANCE MEMBER
  • Manager of Community Care Coordination at Samaritan Health Plans
  • Clayton Johnson
  • ALLIANCE MEMBER
  • Star Rating Manager at Health Alliance Medical Plans
  • Keith Johnson
  • ALLIANCE MEMBER
  • Director, Business Development at Community Health Options
  • Rita Johnson
  • ALLIANCE MEMBER
  • Coding Compliance Specialist / Educator at Presbyterian Health Plan
  • Dee Kanner
  • ALLIANCE MEMBER
  • Medicare Compliance Specialist at CommunityCare
  • Reba Karr
  • ALLIANCE MEMBER
  • Health Management Services Coordinator at Health Alliance Medical Plans
  • Susan Kerrigan
  • ALLIANCE MEMBER
  • Manager Integrity Auditing and Monitoring at Health First Health Plans
  • Narkunan Kesavaram
  • ALLIANCE MEMBER
  • Director, Health Care Data Analytics at Community First Health Plans
  • Jeremy Kroll
  • ALLIANCE MEMBER
  • Manager, Learning and Development at Network Health
  • Darin Larson
  • ALLIANCE MEMBER
  • NCQA Accreditation Manager at SelectHealth
  • KEITH MCMASTER
  • ALLIANCE MEMBER
  • Senior Director of Performance Improvement at MetroPlusHealth
  • Lora Michael
  • ALLIANCE MEMBER
  • case management liaison at Health Alliance Plan (HAP)
  • Bill Miller
  • ALLIANCE MEMBER
  • Medicare Vendor Management at Sentara Health Plans (Optima)
  • Courtney Munch
  • ALLIANCE MEMBER
  • Contracting Manager at Health Alliance Medical Plans
  • Adam Osborne
  • ALLIANCE MEMBER
  • Quality Operations Manager at SelectHealth
  • Bhamini Patel
  • ALLIANCE MEMBER
  • Project Manager at Health Alliance Plan (HAP)
  • Minal Patel
  • ALLIANCE MEMBER
  • Quality Analyst at Aspire Health Plan
  • Yusuf Rashid
  • ALLIANCE MEMBER
  • Principal Pharmacy Benefits Innovation, Amazon at USI Insurance
  • Beverly Reed
  • ALLIANCE MEMBER
  • Customer Experience Program Manager at Community Health Plan of Washington
  • Ted Regalia
  • ALLIANCE MEMBER
  • VP Pharmacy Benefits at Network Health
  • Mark Richardson
  • ALLIANCE MEMBER
  • Director, Medicare Program and Products at SelectHealth
  • Petrina Russell
  • ALLIANCE MEMBER
  • Compliance Auditor at FirstCarolinaCare Insurance Company
  • Ellis Seligman
  • ALLIANCE MEMBER
  • Manager, Clinical Reporting Analyst at AvMed
  • Kirsten Selley
  • ALLIANCE MEMBER
  • Sr. Management Engineer at Health Alliance Plan (HAP)
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Jessica Strader
  • ALLIANCE MEMBER
  • Quality Analyst, Grievances and Complaints at IU Health Plans
  • Susan Taylor
  • ALLIANCE MEMBER
  • Director, Quality Management at Presbyterian Health Plan
  • Scott Thompson
  • ALLIANCE MEMBER
  • Manager, Provider Network Administration at CommunityCare
  • Maggie Traastad
  • ALLIANCE MEMBER
  • Manager, Consulting Analytics - Production Support at Quartz Health Solutions
  • Megan Underwood
  • ALLIANCE MEMBER
  • Business Analyst at Samaritan Health Plans
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Cynthia Weiss
  • ALLIANCE MEMBER
  • Director, Quality, Accreditation and Wellness at AvMed
  • Jennifer Yates
  • ALLIANCE MEMBER
  • Manager, Health & Wellness at SummaCare
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care