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Next Generation Data Practices & Care Programs for Improving Quality Star Ratings
Data is Gold!
October 21st - 22nd, 2010
The Regal Sun Resort in the Walt Disney World® Resort, Orlando, FL
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Packed with innovative and actionable data and care management strategies discover what’s how
your plan to meet both its quality outcome and revenue goals!
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Continue to gain traction on boosting your CMS Quality Star Rating over the next day and a half at our executive
MA plan huddle. Learn breakthrough practices for powerfully integrating clinical data with plan information,
care programs and their reporting, and provider performance measurements to improve health outcomes and drive
up your plan’s quality ratings. Plans that don’t get a jump-start on the new ratings system at the onset will
have a very hard time gaining ground.
Key Five-Star Topics At-a-Glance Include:
- HEDIS: Analyzing data against this new gold standard
- Next generation data practices: blending clinical & plan data
- Medical management data & reports: How to incentivize providers and drive quality outcomes
- What MA plans can learn from a 5-Star plan's case study
- Using evidence-based performance measures to boost ratings
- Chronic care management: capturing the gaps in data and revenue
- Applied analytics case study and lessons from the data machine
- And much more!
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Book your room today at the Regal Sun Resort.
Room rates have been negotiated by HEA, but will sell out quickly!
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Don’t miss our exciting keynote address:
Reaping the Quality Bonuses by Managing Members and Engaging Providers
The 5-Star Rating System will necessitate dramatic changes to the relationship between MA plans, their
providers, their members, their data and their vendors. To reap the 5 percent quality bonus and maximize
the rebate percentage, plans will need to engage their providers and members in ways many of them
never envisioned. Moreover, risk score revenue management integrated with quality measurement and
efficiency profiling will be more important than ever to offsetting the compression of base rates toward
FFS levels. Learn strategies that are focused on provider quality measures and optimizing member
satisfaction. Hear how to:
- Close the loop by identifying gaps in care, promoting patient adherence
- Promote efficient delivery of acute care hospital admissions and emergency department encounters
- Improve provider continuity of care to maximize quality scores, risk scores and outcomes of care
- Ensure clinical documentation maintained by the provider and the coding transmitted to the Payer accurately reflects the care delivered
Hear expert speakers from D.C., NCQA and CHP a 5-star Plan and many more!
Two Conferences, One Great Price!
Enhance your quality improvement push by starting with our
Critical Strategies to Achieve CMS’ 5-Star Rating
event, co-located with this event at The Regal Sun Resort in Orlando, FL.
Register for one or both at a great value!
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