
Understanding Patient Propensity to Pay: How Technology Overcomes Billing Challenges
Helping Medicare Advantage (MA) plans understand how they will perform on the new CMS Health Equity Index through benchmarking analytics software.
Understand how MA plans meet the needs of the people they serve through a dashboard that measures performance in advancing health equity.
Gain visibility to summaries of MA plan- and contract-level performance on the CMS-proposed framework for Health Equity Index summary score and on individual Health Equity Index component quality measures, stratified by select social risk factors.
Characterize data by population demographic, clinical, and socioeconomic profiles compared to national MA benchmarks to understand quality measure rates with the context of members’ profiles.
Identify the largest disparity gaps within various CMS Health Equity Index component measures through social determinants of health (SDOH) factors and their impact on health equity.
Highlight rates and rankings on each CMS Health Equity Index measure stratified by SDOH including dual eligible status, disability status, race/ethnicity, area deprivation index, income level, and more.
Leverage data visualization to better understand where your MA plan has the largest disparities in health outcomes, and find solutions based on specific plan and individual member characteristics.
Understand which groups have the largest gaps in outcomes based on the individual CMS Health Equity Index measure component scores and rankings.
Compare your CMS Health Equity Index quality metrics to other MA contracts serving similar populations, by health plan and contract-level performance.
Detect areas with the largest health equity gaps to better allocate resources, reduce disparities, and improve CMS Health Equity Index performance.
Track improvement on the CMS Health Equity Index component measures and evaluate intervention progress and effectiveness with quarterly benchmark data.
Helping MA plans identify and address health disparities among their populations and advance health equity with relevant benchmarking data.
The COVID-19 pandemic presented a wake-up call to healthcare with its disproportionate impact on people with social needs. In response, the Centers for Medicare & Medicaid Services (CMS) announced development of a new Health Equity Index to help MA plans identify and address disparities in health outcomes.
MA plans need performance data and benchmarks to understand how they will rank on the new Health Equity Index, which will be added to the Five Star Rating system. Health Equity Index Dashboard enables plans to track performance at the patient level, contract level, and plan level – all to reduce health equity gaps by better identifying and addressing disparities.
This solution offers:
Drive better health outcomes and economics, informed by diverse, longitudinally linkable data.