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Achieving Star Ratings Excellence in a
Brave New World

  • November 05, 2020
  • 1:00 PM – 2:00 PM ET
  • Online
about

Prior to the COVID-19 pandemic, Medicare Advantage (MA) was rapidly growing and competition among plans was stiff, with both the number of beneficiaries enrolled in 4+ Star plans and the number of 4+ Star plans steadily increasing. As COVID-19 continues to spread and impact health care delivery, health insurance providers have questions on the current and lasting effects of COVID-19 on Medicare Advantage growth and Star Ratings program methodology and plan performance.

This webinar will provide a detailed outlook of the CMS Star Ratings program, including how COVID-19 is reshaping quality improvement. Our industry experts will provide data-driven strategies to effectively address the challenges at hand and drive improved performance in the 2022 Star Ratings and beyond.

Attendees will learn about:

  • CMS 2021 Star Ratings for MA health plans
  • The effects of COVID-19 on MA health plan quality measurement and reporting
  • Future changes to the CMS Star Rating program
  • Strategic insights on current market trends and challenges
  • Implications and impact of proposed policy changes
  • Best practices and successful quality improvement strategies for 2022 Star Ratings and beyond

Speakers


Kris Volrath
Vice President, Products & Services
Inovalon

Mr. Volrath serves as the Vice President, Products and Services, and with more than 16 years of experience in health care technology is responsible for product revenue, design, strategy, and product execution across multiple product portfolios. 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.

Prior to joining Inovalon, Mr. Volrath worked for Constellation Energy, a leading national supplier of energy products and services, and 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.


Tom Kornfield
Senior Consultant
Avalere

Tom provides analytical support and strategic advice for clients on Medicare Advantage risk adjustment and payment, and on Part D issues. He has more than 20 years of public and private sector experience in Medicare Advantage and Part D payment policy.

Prior to joining Avalere, Mr. Kornfield served as a vice president of Medicare policy at America’s Health Insurance Plans (AHIP). During his tenure at AHIP, he led risk adjustment policy discussions with plan members and external stakeholders. Tom also spent 10 years working at the Centers for Medicare & Medicaid Services (CMS), where he held a variety of positions focused on MA and Part D payment policy. He has also worked for Coventry Health Care, the Alliance of Community Health Plans, and the Senate Finance Committee.

Tom holds a graduate degree from the University of Michigan’s School of Public Policy.

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