The Problem: 12% Decrease in Payments
The payment rules are changing. Medicare Advantage plans have a lot to lose in the coming years if they are unable to offset impending lost revenue by demonstrating quality through the 5-Star program. Our Quality and Compliance solutions enable payers to track and analyze factors that impact a plan’s CMS rating, and pinpoint actionable paths toward improving quality and optimizing revenue.
5% High Quality Bonus
Available to high performing plans through the CMS 5-Star program
3.47 Stars - Average MA Health Plan Rating in 2011
Not enough to meet the standards for high quality bonus dollars