DAY ONE: MONDAY, JUNE 25, 2018 Medicare Star Ratings Strategic Planning Forum 4:15 – 4:4 5 Improve Your Star Scores by Increasing Measure Per formance Accuracy • Ensuring that members truly belong in each measure • Identifying opportunities and improving coding precision • Ways to improve performance accuracy Donna Sutton, MBA, Director Medicare Star Quality SCAN HEALTH PL AN
HEDIS ® Forum 4:15 – 4:4 5 Using Intelligent Member Engagement Strategies to Drive Incremental HEDIS ® Per formance and Star Ratings This presentation will reveal how an objectivebased framework centered on consumer engagement is a powerful strategy to drive improvement in HEDIS ®, HOS and other member-centered Star rating measures, in addition to overall plan performance, in today’s value-based performance environment. Participants will take away practical ideas on: • Using member segmentation strategies to drive incremental HEDIS ® performance • Identifying the right members to engage using propensity modeling, machine learning techniques, and third-party consumer data • Leveraging rewards & incentives as a key approach to improving member activation rates
Pharmacy-Related Measures Forum 4:15 – 4:4 5 Strategies for Success on the Statin Use in Persons with Diabetes (SUPD) Measure • Examining the details of the measure • Evaluating how the treatment regimen might be simplified • Medication adherence management tools that are effective in statin therapy • Adequately documenting discussions with patients regarding the need for statins Twila Johnson, Pharm. D., former Director of Pharmacy Services SECURIT Y HEALTH PL AN
Kristin Gasteazoro, Vice President of Payer Sales NOVUHEALTH
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