PDF Optum Stars Management Reporting

[Pages:4]Optum Stars Management Reporting

Obtain actionable insights to set targets, manage action plans and achieve goals.

As the Medicare Advantage market continues to grow and mature, points of differentiation between health plans continue to narrow. Medicare Stars ratings are one of the most effective methods to differentiate in the market, as they verify that an organization is providing high quality care. It is now more important than ever for health plans to proactively manage their Stars performance measures in order to achieve a 4 Star rating or better and capture the Stars Quality Bonus Payment (QBP).

Rely on the Stars Management Reporting platform to enable:

? Program alignment around your goals and priorities

? Actionable insights to drive member and provider engagement

? Distributed accountability to each key constituent

Optum? Stars Management Reporting empowers health plans with a prospective solution to make informed decisions regarding where the organization can affect the care, services and satisfaction being received today by members in order to close quality gaps and achieve plan goals.

Consider the following to understand the value Optum delivers for your organization to ensure a high-quality Stars reporting solution:

? Are you able to easily set measurable goals and view their impact on your overall rating for next year?

? How do you review your competitors' performance and national benchmarks when developing your strategy and goals?

? How do you drill through measures to the underlying quality gaps -- to create actionable lists by member and provider?

? How do you forecast your year-end performance by contract, domain and measure?

? How are you able to measure and report the future financial impact of your Star rating?



Optum Stars Management Reporting

Platform components

The Stars Management Reporting platform provides a series of robust capabilities -- from providing insight into competitor measure level performance to creating the financial modeling to support your Stars strategy.

Competitive analytics

View and analyze current and prior Star ratings against both national benchmarks and competitors by contract, domain and individual Star measures. ? Quickly identify strengths and opportunities to shape strategy. ? Prioritize measures for improvement.

Reporting

Interactively drill down and across multiple levels of data to drive change. ? Dynamically linked reports within and across dimensions, making it easy to

analyze summary reports and follow multiple paths to engage members, providers and provider groups. ? Intelligently arrange information to focus your efforts on achieving goals; re-sort on any attribute to spot trends and consolidate actions.

Dashboard

Quickly and easily determine performance gaps, recent trends and improvement priorities. ? Intuitive graphics enable you to visually monitor performance against goals

and seamlessly navigate through large, complex data sets to identify priorities for impacting results. ? Organize information based on goals, beginning with current performance and year-end forecasts to reveal actionable opportunities. ? Easily drill down into detailed intervention reports to facilitate targeted engagement with members and providers.

Analytics

Transform data into actionable intelligence via the powerful analytics engine that: ? Accepts data from multiple sources to provide trending year-to-date vs. end-

of-year and run-rate forecasts. ? Enables dynamic monthly goal settings and targets, including contract rating

goal calculations and variance from goal forecast. ? Calculates the expected financial impact of your Star rating in future years in

real time. ? Delivers powerful modeling functionality to predict and calculate future measures.

Modeling

Model Star ratings, prioritize initiatives and intelligently set goals for current and future year activities. ? Estimates current year results based on modeled scenarios to help prioritize

opportunities. ? Guides you in what is achievable based on gaps to the next Star rating and

benchmark data. ? Makes it easy to establish goals by measure and upload them to be viewed

in reports and on the dashboard.



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Optum Stars Management Reporting

Financial modeling

Get the essential information to build a business case for the resources and strategies to create and maintain an effective Stars management program. ? Provides the expected financial implications of Star ratings changes ? Enables you to predict overall impact on enrollment and underlying revenue

Quality advisory and execution services

Beyond the platform capabilities, Optum provides a wide range of service packages and expertise to help you maximize health outcomes and quality bonus payments.

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Services to maximize health outcomes and quality bonus payments

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Quality advisory services

Creating the comprehensive plan to improve quality Call on our industry experts for the in-depth analysis that will: ? Leverage proprietary benchmarks and develop H-contract-specific playbooks ? Create measure-specific improvement plans ? Identify root causes of low performance in Stars measures ? Assess operational efficiency and effectiveness ? Review and recommend changes in Part D strategy and identify the appropriate

levers to drive Part D improvement



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Optum Stars Management Reporting

Quality execution services

Providing the hands-on expertise to achieve significant results

We can embed subject-matter experts and program management partners to facilitate end-to-end delivery and success of your holistic program, including: ? Ongoing analysis, monitoring and strategy execution for Stars improvement ? Development of key performance indicators and improvement of Stars measures

through targeted initiatives ? Implementation and monitoring of operational improvements ? Part D benefit redesign, implementation and plan communication changes

Get the actionable insights to take command of your Star program.

Call: 1-800-765-6807 Email: empower@ Visit:



11000 Optum Circle, Eden Prairie, MN 55344

Optum? is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. All other brand or product names are the property of their respective owners. Because we are continuously improving our products and services, Optum reserves the right to change specifications without prior notice. Optum is an equal opportunity employer.

? 2017 Optum, Inc. All rights reserved. WF321819 02/17

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