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Predictive Analytics, MSSP & Star: Relating & analyzing these Medicare programs for hidden compliance & enrollment patterns
 
Overview
There is a strong focus on improving quality for Medicare beneficiaries as a result of national healthcare reform. Medicare Shared Savings Program (MSSP) and Pioneer ACOs require the reporting of quality measures this year and will start paying for performance in subsequent years. Medicare rates Part C and Part D plans on quality performance and provides financial incentives to reward better quality. This session addresses and compares these different quality measures, and shares how predictive analytics can help uncover the hidden patterns of compliance and enrollment decisions.

The Medicare Shared Savings Program and the Medicare Advantage Part C "Star" rating program both provide significant potential financial rewards if participating organizations meet applicable criteria. Join Milliman's Rong Yi and Bruce Pyenson as they explore how the two sets of quality measures relate to each other, and what types of these Medicare members are less likely to be compliant therefore require more targeted communication or intervention.
 
Learning Objectives
Participants will be able to:
  1. Understand, compare and relate quality measures under the Medicare Shared Savings Program, Pioneer ACO and Star Ratings programs.
  2. Explore issues involving application of Predictive Analytics within these program populations.
  3. Consider how to identify applicable Medicare program members that are less likely to be compliant.
  4. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
 
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Medical Directors
  • Care Management Executives and Staff
  • Analytics and Informatics Executives and Staff
  • Actuarial Executives and Staff
  • Medicare Operations Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Accountable Care Organizations
  • PBMs
  • Provider Networks
  •  Solutions Providers
  • Government
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
    •
 
Registration
Predictive Analytics, MSSP & Star: Relating & analyzing these Medicare programs for hidden compliance & enrollment patterns
 
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

  
 

    

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