With the recent CMS changes announced to the Star Program on April 6th, it will be beneficial for health plans to understand the impact of these program changes, while keeping in mind that Medicare Advantage (MA) plans will face additional challenges related to the Novel Coronavirus (COVID-19) and its impact on members getting needed services and data collection for Star Ratings.
This webinar will review and address these important Star measure changes, how they impact MA plans, and offer a strategy with actionable steps to help you improve key measures.
Key takeaways will include:
• Understand the 2021 Star Rating changes and how to model the impact to your plan
• Anticipate how the 2022 Star Rating Changes may impact your plan
• Ideas on how strategic modeling of populations against the star program measures could provide more opportunities to maximize performance
• How to proactively identify and engage members during and following the pandemic to help them navigate their healthcare
• How to link clinical care to member satisfaction to maximize measure performance
Amy Lung, Chief Operating Officer, HealthMine, Inc.
Amy Lung joined HealthMine as the Chief Operating Officer. She brings 14 years of healthcare experience focused on Quality Improvement through data-driven member and provider engagement strategies. With extensive experience working between health plans and provider organizations, Amy has designed multi-year, sustainable quality improvement programs for several organizations and has a keen interest in utilizing data and technology to expedite results.
In previous roles, she led high performing health plans to achieve and sustain a 4.0 Star Rating in Medicare Advantage, 4.0 NCQA Medicaid Health Plan Ratings, led top-rated Medicaid Plan Performance, collaborated to win two state Medicaid RFPs and has captured significant revenue return in Medicaid Withhold Programs.
Amy is certified as an Improvement Advisor from the Institute of Healthcare Improvement and holds a LEAN for Healthcare certification through UCLA extension. She also holds a B.A. in Biology from the University of Wisconsin— Eau Claire.
Rex Wallace, Founder and Principal, Rex Wallace Consulting, LLC
Rex Wallace is the founder and principal of Rex Wallace Consulting, LLC, a firm that specializes in improving Star Ratings for Medicare Advantage health plans. Rex assesses plans and guides them in the development and implementation of industry-leading strategies to drive material Quality Improvement.
Since its inception in 2017, RWC has helped multiple Medicare Advantage contracts achieve significant improvements in Star Ratings, including single-year full-Star improvements.
Prior to launching RWC, Rex spent twenty-three years in strategic healthcare roles, with a strong focus on Medicare Advantage. Most recently, he led Stars for a large, multi-state plan that consistently achieved 4 and 4.5 Stars across its multiple contracts.
Who Should Attend:
Health Plans in Medicare Advantage and people in these departments:
• Star Program Ratings Leadership
• Quality Improvement
• Customer Experience
• Strategy
• P/L Owners
HealthMine is a health reward and engagement company that empowers plans to improve member health through smart rewards and incentives. Our analytic platform aggregates data and utilizes advanced algorithms combined with population health and quality improvement disciplines. This enables health plans and organizations to increase profitability and thrive. Health plans and organizations have utilized HealthMine’s services since 2008 to enhance or supplement targeted member engagement strategies. We offer one solution to motivate health actions and reward any member. We encourage members to complete clinical health actions, providing smarter rewards distribution and member satisfaction.
