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Yubin Park in accordionhealth

Dec 6, 2016

IVHP uses Accordion to Improve Star Rating and Deliver Member-Specific, Timely Interventions

“Accordion has empowered me to use data to gain better insights into our organization, our business processes and our members. My entire team feels more productive now that…

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.

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…

Yubin Park in accordionhealth

Jul 20, 2016

Difficulty Of Identifying Diabetic Patients As Diabetic

Risk adjustment has become arguably one of the most important yet complex operational program for modern payers. Every year, payers invest millions of dollars on the risk adjustment program, and still some payers lose million dollars…

Yubin Park in accordionhealth

Jul 7, 2016

Predictive Analytics in U.S. Healthcare

Modern Healthcare and Society of Actuaries recently published a survey study about the current state of predictive analytics in the U.S. healthcare (click here for the original article). They surveyed 388 healthcare executives, and identified various types of…

Yubin Park in accordionhealth

Jul 4, 2016

Trends in ACA Risk Adjustment: The Rich Get Richer?

The U.S. Department of Health and Human Services (HHS) recently published a summary report on Affordable Care Act’s transitional reinsurance (RI) payments and permanent risk adjustment (RA) transfers for the 2015 benefit year [1]. The…

Yubin Park in accordionhealth

Jun 29, 2016

Two Birds with One Stone: Outcome of Medication Adherence

Medication adherence measures are some of the most important measures in Medicare Advantage’s Star Ratings system. Not only are they heavily weighted measures, but they are also lead measures for other clinical outcome measures.

Yubin Park in accordionhealth

Feb 29, 2016

What happens after Knee Replacement?

The Centers for Medicare and Medicaid Services recently announced a new form of bundled payment for lower extremity joint replacement, the Comprehensive Care for Joint Replacement (CJR) model. Under CJR, hospitals are accountable for the quality and cost of the…

Yubin Park in accordionhealth

Feb 19, 2016

Have Star Ratings improved medication adherence?

Each year, the Centers for Medicare and Medicaid Services (CMS) collect various quality and performance measures on Medicare Advantage (MA) plans. CMS analyzes this massive collection of information and assigns from 1 star to 5 stars to each…

Yubin Park in accordionhealth

Feb 22, 2015

SRS Part 6: Dissecting readmission rates

If you carefully read the technical notes of 2015 star rating, you will discover that the readmission rates are not the observed hospital readmission rates. The equation in Attachment F shows how the final rate is calculated.