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Yubin Park in accordionhealth

Jun 23, 2016

Value of One Star Rating Measure

In this article, we estimate the dollar impact of improving one star rating measure in the MA Star Rating system. Based on the CMS advance notice [1], if an MA plan scores 4 stars and above, the plan can receive 5% Quality Bonus Payments (QBP). Below 3.5 stars, plans…

Yubin Park in accordionhealth

Aug 4, 2016

Can You Predict My Star Rating?

At Accordion Health, we help Medicare Advantage (MA) plans improve their Star Ratings. We identify the right measures to focus and provide data-driven platforms that engage members and providers to improve those measures. The MA Star Rating System is arguably one of the…

Nikolaos Vergos in accordionhealth

Apr 19, 2017

A Risk Adjustment Model for Workers’ Compensation Claims

Part 2: Fundamentals of Risk Modeling

In the last post of Accordion’s series on building a Risk Adjustment model for Workers’ Compensation claims we briefly presented some background…

Nikolaos Vergos in accordionhealth

Apr 25, 2017

A Risk Adjustment Model for Workers’ Compensation Claims

Part 3: Building Accordion’s Predictive Model

After laying the groundwork for the fundamentals of Workers’ Compensation in the United States, as well as a whirlwind overview of…

Nikolaos Vergos in accordionhealth

Mar 20, 2017

A Risk Adjustment Model for Workers’ Compensation Claims

Part 1: Background and Motivation

Kuan-Yu Chen in accordionhealth

Apr 4, 2017

Accordion APIs How-To series, part IV

How does the Accordion Risk Surface Engine (Arise) determine whether a member is likely to have a disease, Parkinson’s disease for example?

Yubin Park in accordionhealth

Feb 11, 2015

Analyzing CMS Star Rating Data

Chances are if you work in the healthcare industry, you’ve heard about the Medicare star ratings. If you haven’t, it’s not too late. Every year, the Centers for Medicare and Medicaid Services (CMS) collects data from Medicare Advantage (MA) plans. Each different quality and…

Kuan-Yu Chen in accordionhealth

Mar 6, 2017

Accordion APIs How-To series, part III

Closing the gaps between the documented risk conditions and what members really have

Yubin Park in accordionhealth

Sep 13, 2016

Cutoff Prediction Results for 2017 Star Ratings

New Star Rating cutoffs for 2017 are out. As expected, the new cutoffs deviated from last year’s cutoffs, and will substantially affect the calculation of the overall Star Rating. Once again, many MA plans will be surprised.

Kuan-Yu Chen in accordionhealth

May 30, 2017

Accordion APIs How-To series, part V

How does Arise perform compared to industry standard algorithms?

These were the top 10 stories published by accordionhealth; you can also dive into yearly archives: 2015, 2016, and 2017.

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