Strategies for Success: 2018 CMS Star Ratings & Beyond

  • October 26, 2017
  • 1:00 PM – 2:00 PM ET
  • Online
about

CMS’s 2018 Medicare Advantage 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 Medicare Advantage health plans, an understanding of CMS’s 2018 Star Ratings and what’s in store for 2019, 2020 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 2018 Star Ratings release and what’s to come for 2019, 2020 and beyond. The webinar will offer winning strategies for Medicare Advantage health plans to improve their 5-Star quality ratings.

By participating in this webinar attendees will learn:

  • Highlights of CMS 2018 Star Ratings for Medicare Advantage plans
  • Insights on specific CMS quality measures that proved particularly challenging this year
  • Overview of future changes to CMS Star Ratings for 2019 and 2020
  • Quality improvement strategies to focus on for 2019 and beyond

Who should attend: Medicare Advantage plans


Speakers:


Sean Creighton, Vice President, Avalere
Sean Creighton, Vice President, 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.

 

Patrick Donnelly, Director & General Manager, Quality Spectrum®, Inovalon
Patrick Donnelly is the director and general manager for Inovalon’s integrated quality solution, Quality Spectrum®. He is responsible for ensuring seamless product operations and quality intervention strategies for Medicare, Medicaid and Commercial ACA health plans. For the past decade, Patrick has focused on international healthcare and quality initiatives at the state and federal level, which includes creating a patented Medicare Star Rating quality and financial performance tool.

Patrick has a BBA in finance and international business and a BA in history and Russian from the University of Notre Dame.