Star Ratings Toolkit

NOTE: You must login to your Alliance account to access the articles and resources below. Some content may only be accessible to Alliance members.

 

8/29/2019

Presentation: Hardwiring STARS/HEDIS into accountability measures
There are radical changes in the way Star Ratings will be earned in coming years. Melissa Smith with Gorman Health Group discusses these changes and the implications for health plans.

12/20/2018

Improving Medicare Advantage Star Ratings Utilizing Telehealth
In this whitepaper, Dr. Sylvia Romm, Vice President of Clinical Transformation at American Well, reveals how telehealth can help health plans improve CMS star ratings by actively engaging members and delivering better, more frequent care.

9/11/2018

Presentation: Developing a Targeted Program for Improving Member Medication Adherence and Outcomes while Reducing Total Cost of Care: Lessons Learned
Marty Hauser of ExactCare and HAP's Michael Genord and Peter Watson review the development of their program as well as share early results. Plans for expansion to other product lines and next steps developed through lessons learned to date are shared.

9/11/2018

Recording: Developing a Targeted Program for Improving Member Medication Adherence and Outcomes while Reducing Total Cost of Care: Lessons Learned
Marty Hauser of ExactCare and HAP's Michael Genord and Peter Watson review the development of their program as well as share early results. Plans for expansion to other product lines and next steps developed through lessons learned to date are shared.

8/31/2018

Recording: Quality Roundtable - Operational Structures for STARS
Roundtable Discussion addressing operational structures for STARS

8/29/2018

Presentation: Quality Roundtable Operational Structures for STARS
Roundtable Discussion addressing operational structures for STARS

11/16/2017

Presentation: Aspire case study: Integrating STARs and risk adjustment data to support a provider incentive program
In this session, Alison Dunton of Aspire Health Plan shares an overview of their practice incentive program and how the analytics team integrates STARS and HCC gaps date to support their providers.

11/6/2017
11/6/2017

Presentation: Star Ratings Comparative Benchmark Report
Change Healthcare (formerly Altegra Health), a Strategic Business Sponsor of the Medicare Advantage Collaborative, presents the Annual Health Plan Alliance member Star Ratings comparative benchmark report. During this 90 minute session, learn how Alliance member health plans' performance compares to the national average (Part C & Part D) as well as what to expect in the coming Star years. Plus, the expert presenters identify key areas of strength and weaknesses and present an overview of the Alliance member plans comparative report.

1/26/2017

HOS Survey Toolkit
HOS survey resources were shared by Health Plan Alliance members following the 1/12/2017 "Roundtable Discussion - STAR Ratings: HOS Metrics" webinar. During the webinar, plans shared their best practices and tools for achieving optimal STAR ratings on Health Outcomes Survey (HOS) metrics.

8/4/2016

Document: Presbyterian Star Estimate 2016
Stars Dashboard tool shared by Presbyterian Health Plan. Estimated Star level.

8/4/2016

Presentation: Presbyterian Health Plan Stars Dashboard
This session combines the industry view of Wakely's experts with the real-world experience of Presbyterian Health Plan when it comes to monitoring Stars efforts. We discuss the KPIs plans use to inform decision-making, plus share suggestions to improve Star dashboard development and use.

8/4/2016

Presentation: Medicare Advantage Stars Improvement Monitor, Measure, Discuss and Refine
Dave Neiman, Sr. Consulting Actuary with Wakely Consulting, shares the math behind the stars, and provides great visuals and explanations that answer the questions executives have most often when it comes to Stars. He also shares Stars Dashboard examples, and experiences gained from working with clients across the industry on moving the Stars needle.

5/23/2016

Quality Council Charter - CHPW
Quality council charter from CHPW

11/25/2015

Aspire's Internal benchmark report for monitoring Star measures
Aspire shared the benchmark report its staff uses internally to monitor Star measures. This version is the PDF version. For additional help regarding this tool, contact Alison Dunton at Aspire.