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.

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  5% High Quality Bonus

  Available to high performing plans through the CMS 5-Star program

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  3.47 Stars - Average MA Health Plan Rating in 2011

  Not enough to meet the standards for high quality bonus dollars