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Medicare health plan quality and performance ratings

2. today's agenda. Star measuresWhat are they?Measure timelineMeasures and data sourceToday's focusStar rating impactHealth planPOWhat can we do to impact the 2012 rating?. 3. about star measures. Ratings based on Part C

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Medicare health plan quality and performance ratings

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    1. medicare health plan quality and performance ratings Mike Shook Manager Medicare Revenue and Ratings April 5, 2011

    2. 2 today’s agenda Star measures What are they? Measure timeline Measures and data source Today’s focus Star rating impact Health plan PO What can we do to impact the 2012 rating?

    3. 3 about star measures Ratings based on Part C & D measures Quality (Star) rating based on average of all 53 measures 36 Part C measures 17 Part D measures 3 Year data lag ? must act now! 53 measures based on Four data sources: CMS administrative data CAHPS® Medicare HEDIS® HOS Measures carry equal weight.

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