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CMS 2024 Star Ratings Recalculation Discussion Part 2

Event Date: 6/24/2024

Event Overview

Monday, 6/24/2024
12:00 PM CT – 1:00 PM CT (60 minutes)
Hosted By: Health Plan Alliance and Optum Advisory 

This is part two following the June 18 call. CMS announced on June 13 that they will recalculate the 2024 Star Ratings for 2025 Quality Bonus Payment purposes to address the application of Tukey outlier deletion and guardrails.

On this call, Optum Advisory will kick us off with their industry insights from an actuarial standpoint. The remaining time will be used for open discussion and questions. 

This call is designed to create an open forum for HPA Medicare Advantage plans affected by the recent CMS 2024 Star Ratings recalculation announcement. Discuss your next steps, ask questions of one another, and share unfolding best practices. All topics are welcome; feel free also to submit topics in advance to Yuri Sung


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Documents
6/26/2024

Recording: CMS 2024 Star Ratings Recalculation Discussion Part 2
This is part two following the June 18 call. CMS announced on June 13 that they will recalculate the 2024 Star Ratings for 2025 Quality Bonus Payment purposes to address the application of Tukey outlier deletion and guardrails. On this call, Optum Advisory will kick us off with their industry insights from an actuarial standpoint. The remaining time will be used for open discussion and questions.

Attendees

Below is a list of all delegates registered to date for this event

  • Sarah Anzick
  • ALLIANCE MEMBER
  • Manager, Quality Improvement at Sentara Health Plans (Optima)
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Marsha Barlocker
  • ALLIANCE MEMBER
  • Senior Director Quality and Case Management at HealthTeam Advantage
  • Elizabeth Benz
  • ALLIANCE MEMBER
  • Vice President Quality and Clinical Integration at Network Health
  • Cortney Borba
  • ALLIANCE MEMBER
  • Quality Program Manager at Providence Health Plan
  • Hope Breckenridge
  • ALLIANCE MEMBER
  • Performance Improvement Coordinator at Sentara Health Plans (Optima)
  • Sara Beth Brown
  • ALLIANCE MEMBER
  • Clinical Pharmacist at HealthTeam Advantage
  • Jenny Bullock
  • ALLIANCE MEMBER
  • Quality Consultant at SelectHealth
  • Jeannine Bumford
  • ALLIANCE MEMBER
  • Director of Risk Adjustment Operations at CHRISTUS Health Plan
  • Tiffany Butler
  • ALLIANCE MEMBER
  • Program Manager Regulatory Affairs at CHRISTUS Health Plan
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Michele Charless
  • ALLIANCE MEMBER
  • Director of Health Plan and Networks Regulatory Affairs at CHRISTUS Health Plan
  • Vickie Clauser
  • ALLIANCE MEMBER
  • Informatics analyst consultant at Health Alliance Plan (HAP)
  • Amy Cleary
  • ALLIANCE MEMBER
  • Director - Quality Management at Geisinger Health Plan
  • Michelle Coberly
  • ALLIANCE MEMBER
  • Vice President, Medicare at Physicians Health Plan
  • Lisa Cohen
  • ALLIANCE MEMBER
  • Vice President & Chief Financial Officer at Health New England
  • Mary Copeland
  • ALLIANCE MEMBER
  • Population Health Improvement Coordinator at Sentara Health Plans (Optima)
  • Ashley Costley
  • ALLIANCE MEMBER
  • Quality Assurance Manager at Johns Hopkins Health Plans
  • Joslyn Dechant
  • ALLIANCE MEMBER
  • Manager, Medicare Advantage Product Development at Johns Hopkins Health Plans
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Debra Feagins
  • ALLIANCE MEMBER
  • Director, Medicare Care Management at Sentara Health Plans (Optima)
  • Corey Fleck
  • ALLIANCE MEMBER
  • VP, Medicare Stars at Jefferson Health Plans
  • Azure Gaskill
  • ALLIANCE MEMBER
  • Quality Consultant at SelectHealth
  • Shane Greene
  • ALLIANCE MEMBER
  • Senior Director of Health Plan Quality Operations at Care N' Care Insurance Company, Inc.
  • Robin Haehlke
  • ALLIANCE MEMBER
  • RN Clinical Quality Assurance Specialist at Quartz Health Solutions
  • Kena Hahn
  • ALLIANCE MEMBER
  • Director- Medicare Stars and Outpatient Care Coordination at Health Alliance Medical Plans
  • Kaitlyn Hammond
  • ALLIANCE MEMBER
  • Director of Government Programs at Cox HealthPlans
  • Mark Hampe
  • ALLIANCE MEMBER
  • Senior Healthcare Data Analyst at Samaritan Health Plans
  • Brandy Hilgefort
  • ALLIANCE MEMBER
  • Medicare Compliance Specialist at Providence Health Plan
  • Mandy Hill
  • ALLIANCE MEMBER
  • Director at Jefferson Health Plans
  • Brendan Hodges
  • ALLIANCE MEMBER
  • President/CEO at HealthTeam Advantage
  • Jeniffer Horn
  • ALLIANCE MEMBER
  • Director - Health Plans Call Center Operations at CHRISTUS Health Plan
  • Zulma Ibarra
  • ALLIANCE MEMBER
  • Program Manager at Baylor Scott & White Health Plan
  • Twyla Jackson
  • ALLIANCE MEMBER
  • Senior Medicare Compliance Specialist at HealthTeam Advantage
  • Nicolette Johnson
  • ALLIANCE MEMBER
  • Stars Program Manager at Community Health Plan of Washington
  • Clayton Johnson
  • ALLIANCE MEMBER
  • Star Rating Manager at Health Alliance Medical Plans
  • Justin Joseph
  • ALLIANCE MEMBER
  • Director of Quality and HEDIS at MediGold
  • Tyler Kalscheur
  • ALLIANCE MEMBER
  • Actuarial Analyst at Quartz Health Solutions
  • Joleen Katula
  • ALLIANCE MEMBER
  • Interim Compliance Officer at HealthTeam Advantage
  • Crystal Keelin
  • ALLIANCE MEMBER
  • Medicare Stars Program Manager at Samaritan Health Plans
  • Lauren Knauf
  • ALLIANCE MEMBER
  • System Director - Quality & Performance Improvement at Ochsner Health Plan
  • Barb Koerperich
  • ALLIANCE MEMBER
  • Director of Health Care Services at Medical Associates Health Plans
  • Ed Lee
  • ALLIANCE MEMBER
  • Product Leader, Health Plans Medicare Advantage at IU Health Plans
  • Chia Lee
  • ALLIANCE MEMBER
  • Regulatory Support Admin at Network Health
  • Mandi Longoria
  • ALLIANCE MEMBER
  • HEDIS Program Manager at CHRISTUS Health Plan
  • Charlotte Luebbert
  • ALLIANCE MEMBER
  • Director of Medicare Part D Pharmacy Services at Baylor Scott & White Health Plan
  • Cheryl Mah
  • ALLIANCE MEMBER
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Isela Martinez
  • ALLIANCE MEMBER
  • Clinical Program Manager at Baylor Scott & White Health Plan
  • Johanna Martinez
  • ALLIANCE MEMBER
  • VP of Performance Improvement at Prominence Health Plan
  • Taylor McInnis
  • ALLIANCE MEMBER
  • Health Equity Star Ratings Coordinator at Health Alliance Medical Plans
  • Joey Nguyen
  • ALLIANCE MEMBER
  • Medicare Stars Analyst at Denver Health Medical Plan
  • Tina Nguyen
  • ALLIANCE MEMBER
  • Pharmacist at CHRISTUS Health Plan
  • Susan O'Connor
  • ALLIANCE MEMBER
  • Vice President & General Counsel at Health New England
  • Adam Osborne
  • ALLIANCE MEMBER
  • Quality Operations Manager at SelectHealth
  • Jack Phillips
  • ALLIANCE MEMBER
  • Manager, Quality and Data Reporting at CommunityCare
  • Natalie Pirkola
  • ALLIANCE MEMBER
  • Vice President, Pharmacy and Population Health at Health Alliance Plan (HAP)
  • Joseph Polley
  • ALLIANCE MEMBER
  • Chief Actuary at Health Alliance Medical Plans
  • Bridgett Quest
  • ALLIANCE MEMBER
  • Manager, Medicare Retention at Providence Health Plan
  • Jessica Rainone
  • ALLIANCE MEMBER
  • Senior Quality Improvement Specialist at Neighborhood Health Plan of Rhode Island
  • Janeth Ramos
  • ALLIANCE MEMBER
  • Team Coordinator, Integrated Care Management at Sentara Health Plans (Optima)
  • Josh Reinhardt
  • ALLIANCE MEMBER
  • Healthcare Data Analyst at Network Health
  • Benjamin Rogers
  • ALLIANCE MEMBER
  • Director of Quality, Accreditation & Member Experience at Health New England
  • Erin Rogers
  • ALLIANCE MEMBER
  • Manager, Sales Compliance and Analytics at SummaCare
  • Athena Santos
  • ALLIANCE MEMBER
  • Executive Director at AdventHealth (FHHS)
  • Shannon Schuster
  • ALLIANCE MEMBER
  • Director, Regulatory Affairs at Network Health
  • Kirsten Selley
  • ALLIANCE MEMBER
  • Sr. Management Engineer at Health Alliance Plan (HAP)
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Kelly Simpson
  • ALLIANCE MEMBER
  • Business Analyst at Providence Health Plan
  • Amber Smits
  • ALLIANCE MEMBER
  • Health Equity and Quality Revenue Program Manager at Network Health
  • Amy Stiles
  • ALLIANCE MEMBER
  • Coordinator of Quality Management at MediGold
  • Yuri Sung
  • ALLIANCE MEMBER
  • Senior Specialist, Programming at Health Plan Alliance
  • Tonya Taylor
  • ALLIANCE MEMBER
  • Director, Quality & Regulatory at Sentara Health Plans (Optima)
  • Adam Ternet
  • ALLIANCE MEMBER
  • Product Leader, Third Party Risk at IU Health Plans
  • Vera Tolbert
  • ALLIANCE MEMBER
  • Compliance Auditor at Jefferson Health Plans
  • Brittany Tuggle
  • ALLIANCE MEMBER
  • Clinical Nurse Investigator at Health First Health Plans
  • Jules Vasquez
  • ALLIANCE MEMBER
  • Director, Stars & Accreditation at Health First Health Plans
  • Rick Walters
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Medical Associates Health Plans
  • Naomi Warren
  • ALLIANCE MEMBER
  • Compliance Associate at Care N' Care Insurance Company, Inc.
  • Catherine Watts
  • ALLIANCE MEMBER
  • Director, Health Outcomes at CommunityCare
  • Jennifer Yates
  • ALLIANCE MEMBER
  • Manager, Health & Wellness at SummaCare
  • David Young
  • ALLIANCE MEMBER
  • Pharmacist at Denver Health Medical Plan
Speakers