Health Equity Benchmarking Insights

Helping Medicare Advantage (MA) plans understand how they will perform on the new CMS Health Equity Index through benchmarking analytics software.

Powered by the Inovalon ONE® Platform

Understand how MA plans meet the needs of the people they serve through a dashboard that measures performance in advancing health equity.

Overview

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.

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Benchmark performance

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.

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Target resources and interventions

Identify the largest disparity gaps within various Health Equity Index component measures through social determinants of health (SDOH) factors and their impact on health equity.

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Evaluate individual component measures

Highlight rates and rankings on each Health Equity Index measure stratified by SDOH including dual eligible status, disability status, race/ethnicity, area deprivation index, income level, and more.

Benefits

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.

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Improve healthcare access, quality, and equity

Understand which groups have the largest gaps in outcomes based on the individual Health Equity Index measure component scores and rankings.

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Benchmark your population performance

Compare your Health Equity Index quality metrics to other MA contracts serving similar populations, by health plan and contract-level performance.

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Identify and address health disparities

Detect areas with the largest health equity gaps to better allocate resources, reduce disparities, and improve Health Equity Index performance.

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Evaluate intervention effectiveness

Track improvement on the Health Equity Index component measures and evaluate intervention progress and effectiveness with quarterly benchmark data.

How it Works

Helping MA plans identify and address health disparities among their populations and advance health equity with relevant benchmarking data.

Measure and improve your organization’s Health Equity Index performance.

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 Benchmarking Insights 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:

    • Demographic and SDOH characteristics (age, gender, race/ethnicity, dual eligible and disability status, income, area deprivation index (ADI) scores)
    • Clinical characteristics (top comorbidities, number of medications, Charlson Comorbidity Index Score, Hierarchical Chronic Condition (HCC) Risk Score)
    • MA plan and contract performance rates and rankings against national MA plans on each Health Equity Index measure stratified by select SDOH factors
    • Benchmarking on the overall Health Equity Index composite summary score, stratified by select SDOH factors

INOVALON INSIGHTS

Inovalon Data Cloud Products

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Inovalon DataStream® API

Improve the patient experience and care coordination with comprehensive, patient-specific data at the point of care.

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Healthcare Data Lake

Combine structured and unstructured data with applicable Inovalon data extracts in a secure data lake to improve healthcare outcomes and economics.

Inovalon Consumer Health Gateway™

Give members quick, reliable access to their health data, enabled by a secure, compliant solution.

Real-World Data

Accelerate research and improve healthcare outcomes with longitudinally linkable, deidentified data.

Resources

Inovalon Resources

Explore case studies, white papers, webinars, videos, podcasts, infographics, and more to realize the power of applied, relevant healthcare data.

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