RECORDED WEBINAR: Mandatory CMS TEAM: Using Simulated Episodes of Care to Evaluate Risk & Opportunity

March 25, 2025acoNo CommentsACOs, HEDIS, Medicare Advantage Star Rating, vbc, Webinar

 Download Slides CMS’ new mandatory episode-based payment model, the Transforming Episode Accountability Model (TEAM), is scheduled to begin Jan. 1, 2026, affecting reimbursement for five high-volume surgical procedures. Data is key for hospitals to prepare for TEAM and to understand how markets will be impacted throughout the nation. Key takeaways: Join our Mandatory CMS…

RECORDED WEBINAR: Transforming Care Management with AI – Risk Stratification & Predictive Modeling for Better Health Outcomes

March 19, 2025acoNo CommentsACOs, AI, Artificial Intelligence, HEDIS, Medicare Advantage Star Rating, vbc, Webinar

 Download Slides Exploring how AI-driven analytics can transform care management through focus on Population Health Risk Stratification and Predictive Modeling. We will discuss how advanced data science techniques using Electronic Health Records (EHR) and claims data provides us an opportunity to perform risk stratification to help identify high-risk populations, predict adverse health events, and…

RECORDED WEBINAR: Unpacking the mandatory CMS TEAM model: Overcome new rules & challenges

September 24, 2024acoNo CommentsACOs, HEDIS, Medicare Advantage Star Rating, vbc, Webinar

 Download Slides In August, CMS introduced a new mandatory model: Transforming Episode Accountability Model (TEAM), a bundled payment initiative affecting reimbursement for five key surgical procedures. Key Takeaways:Join our webinar, Unpacking the mandatory CMS TEAM model: Overcome new rules & challenges, on Sept. 24, at 1 p.m. EST. During this one-hour session, you’ll learn:…

RECORDED WEBINAR: The Medicare Advantage HEDIS™ and Star measures review

September 17, 2024acoNo CommentsACOs, HEDIS, Medicare Advantage Star Rating, vbc, Webinar

 Download Slides This deep dive covers everything you need to know about these measures. Are you struggling to understand Medicare Advantage quality measures and meet your MSO and/or payer requirements? This webinar will cover what you need to know and offer strategies to support you on your path to success. You’ll learn how to…

The Fundamentals of Medicare Advantage Star Rating Methodology

August 10, 2021Garrett SchmittNo CommentsCMS, Medicare, Medicare Advantage, Medicare Advantage Star Rating, quality measures, quality of care

The way to determine the quality of a Medicare Advantage health plan is simple: look at the five-star rating on the Medicare website. However, the Medicare Advantage Star Rating methodology that produces that star indicator is much more complex. A Medicare Advantage plan is a private payer health plan which the federal government funds and…

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