CMS’s 2019 Medicare Advantage (MA) and Part D Star Ratings (to be released on October 11) will position some plans to win more members and higher revenue and designate others as low-performers on the Medicare Plan Finder website. The CMS data will also provide insight on which Star measures are causing plans the most difficulty, and therefore where MA and Part D insurers should focus their future efforts. For MA plans, an understanding of CMS’s 2019 Star Ratings and what’s in store for 2020, 2021 and beyond is crucial to developing and implementing effective operational and quality improvement strategies.
The webinar will provide a high level overview of CMS Star Ratings program and offer key insights on CMS’s 2019 Star Ratings release and what’s to come for 2020, 2021 and beyond. The webinar will offer winning strategies for MA plans to improve their 5-Star quality ratings.
Kristopher Volrath –Vice President
Products and Services
Mr. Volrath serves as the Vice President, Products and Services, 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.