With about 74% of Medicare Advantage (MA) beneficiaries enrolled in health plans with 4 or more stars in 2019, it is important that MA plans focus on quality improvement to deliver a greater member experience while securing Quality Bonus Payments awarded to high-performing plans. CMS is expected to release the 2020 Medicare MA and Part D Star Ratings on October 9, prior to the upcoming enrollment period. Health insurance providers need to understand market trends to develop winning strategies for quality excellence to prepare for future Star Rating periods.
The webinar will provide a detailed overview and analysis of the CMS Star Ratings program, equipping health insurance providers with lessons learned and data-driven insights to prepare for the 2021 Star Ratings season to ensure high performance in quality Star Ratings.
Vice President, Platform Design & Operations
Mr. Volrath serves as the Vice President, Platform Design & Operations, at Inovalon and is responsible for product revenue, design, strategy, and product execution across multiple product portfolios, including Quality Spectrum®, Data Visualization and Reporting, and the Inovalon ONE® Platform. In this role, Mr. Volrath and his team partner with clients to provide deep insights into quality measurement, drive quality improvement strategy and execution, deliver integrated member and provider engagement solutions, analyze and visualize information for rapid consumption, and achieve meaningful quality outcomes for Medicare Advantage, state-based Medicaid, and Commercial Health Insurance Exchange plans.
Mr. Volrath has more than 16 years of experience in fields of healthcare technology, commodities, financial services, software engineering, data analytics, enterprise architecture, and portfolio management, holding a variety of leadership positions responsible for product and technology strategy. Prior to joining Inovalon, Mr. Volrath worked for Constellation Energy, a leading national supplier of energy products and services, where he was responsible for multiple delivery groups leading complex program initiatives, executing upon mergers and acquisitions, and driving innovation. Mr. Volrath previously held positions focused on financial services and software engineering at Accenture and Legg Mason.
Mr. Volrath received his bachelor’s degree in Management Information Systems with a concentration in Finance from Salisbury University’s Perdue School of Business in Salisbury, Maryland.
Sean Creighton is responsible for leading advisory services work tied to Medicare Advantage (MA), risk adjustment, and related issues. His extensive experience with claims data and application of Avalere’s modeling and analytics functions enable him to advise clients on their strategic goals. Prior to Avalere, Sean was a Senior Vice President at Verscend Technologies, where he led the development and management of risk adjustment products. Prior to that, he spent 15 years at the Centers for Medicare & Medicaid Services (CMS), leading the policy development and implementation of major public programs. Sean holds graduate degrees in Sociology and Statistics from the London School of Economics and Trinity College, Dublin, Ireland and a BA from University of Limerick, Ireland.