HRA Star Rating Simulation Tool
MedAdvantage360
Embark on a journey with our advanced simulation tool!
By entering your plan specific values for the
past assessment year, you will
receive expert recommendations to boost your Star Ratings and performance for measure C05 (Special Needs Plan
(SNP) Care Management).
Let's achieve excellence together!
Enter the number of members eligible for HRA in your Special Needs Plan (SNP) - (Existing members + New enrollees)
Enter the number of new members enrolled for
SNP
Enter the number of initial HRAs performed on new
enrollees
Enter the number of annual reassessment done on eligible (existing) members
SNP Care Management
The SNP measure C05, Special Needs Plan Care Management, is of significant importance for health plans due to several critical reasons:
Quality of Care
The measure assesses the plan’s ability to identify the unique needs of each enrollee and address them through its care management practices so as to maintain high quality care.
Financial Incentives
Health plans that achieve high scores on measures like SNP C05 may be eligible for financial incentives from CMS.
Plan Performance
A high score in SNP C05 measure can contribute to a higher overall Star Rating, which can attract more enrollees and lead to greater success for the health plan.
Member Satisfaction
By focusing on care management, health plans can ensure that their members are receiving the right care at the right time. This can lead to higher member satisfaction and retention.
How Wipro Can Help?
With Wipro’s expertise in star rating methodology, criteria and the measures used by government agencies, Health Plans can make data-driven decisions to optimize their star ratings.
Analyze Existing Star Rating
Identify factors contributing to the identified measure
This involves a detailed evaluation of a health plan’s performance for the measure to understand their performance at a granular level.
Conduct Gap Analysis for the measure
Identification and prioritization of the gaps based on their impact and feasibility of improvement. Some gaps may have a bigger impact on the overall Star Rating.
Solution Approach
Based on the identified gaps and their prioritization, specific action plans are developed. This may involve process improvements, technology implementations, training programs or policy changes.