Gorman Health Group | STARS & QUALITY INNOVATIONS
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STARS & QUALITY INNOVATIONS

Changing how you approach Medical Management, Quality and Stars

A MA Health plan’s Star strategy continues to be critical to its plan success and survival. For a MA Plan to receive a bonus it means an immediate and successful execution of a multi-disciplined strategy across departments. It’s easier said than done. We can evaluate quality measure performance, internal workflows, and external influences to pinpoint strengths and risks, identify tactical improvement opportunities, and suggest strategic innovations to raise Star Ratings.

STAR RATINGS

GHG can evaluate your Star Ratings approach, and identify tactics you can begin implementing immediately, to integrate initiatives, eliminate redundancies, and build an enterprise-wide Star management structure. We can help you identify clinical, operational, and networking opportunities to increase your rating.

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Star Ratings Assessment

GHG performs Star Rating performance assessments for organizations to identify areas of improvement, and implement best practice methods to increase its HEDIS and Star scores. Whether your plan’s Star Rating is on the bubble or solidly above 4 stars, this is an excellent time to re-evaluate your strategies, work plans, and tactics, to best ensure that your Stars remain aligned.

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QUALITY IMPROVEMENT

Now is a critical time for quality improvement. GHG will work with your team to improve quality of care with renewed engagement strategies, data management, and advanced planning to further improve health outcomes, and reduce the cost of care for beneficiaries. Through data and reporting measure assessments, we will be able to recommend strategies that will improve clinical quality performance and ensure your processes are aligned with CMS expectations.

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