Industry’s premier event highlights need for integrated quality improvement, measurement, and reporting solutions
SALT LAKE CITY, October 23, 2023 – Cotiviti, a leader in data-driven healthcare solutions, will showcase its industry-leading Quality and Stars solutions at the National Committee for Quality Assurance (NCQA) Health Innovation Summit taking place October 23–25 in Orlando, Florida. These solutions include Star Intelligence, a powerful tool that gives Medicare Advantage and MA-PD plans the ability to track, predict, and model their Star Ratings.
“As demonstrated by the 2024 Star Ratings recently published by the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage plans have seen lower ratings for two straight years, which hurts their quality bonuses, enrollment, and ability to invest in member care,” said Chad Kinkead, senior vice president of risk adjustment, population health management, and quality for Cotiviti. “By using solutions such as Cotiviti’s Star Intelligence to predict how cut points will shift and forecast their measure performance, Medicare Advantage plans can determine the most direct path to improved scores and be more confident in their overall Star Ratings performance, directly improving their ability to enhance outcomes for their members.”
In the 2024 Star Ratings published by CMS, 56% of Medicare Advantage contracts that use Cotiviti’s Quality and Stars solutions earned a rating of four stars or higher, compared to just 35% of contracts that use alternative quality solutions.
Star Intelligence leverages advanced predictive analytics, highlighting opportunities for improved scores through predictive cut points, measure predictions, and end-of-year overall contract rating predictions. Transparent dashboards with trending and benchmarking capabilities enable comprehensive reporting to better support member and provider communications to close care gaps.
When integrated with Cotiviti’s Quality Intelligence solution, which processed data for more than 127 million members reported to NCQA during the HEDIS Measurement Year 2022 season in addition to supporting hundreds of state-specific and custom measures, Star Intelligence also provides a one-stop shop for HEDIS quality and Star Ratings management. This integration decreases setup, maintenance, and ongoing training costs and delivers consistency across quality programs. When used in tandem with Cotiviti’s member engagement solutions, Quality Intelligence and Star Intelligence enable plans to leverage a “single source of truth” to execute tailored consumer outreach through personalized conversations, reaching the right member with the right message at the right time.
Cotiviti, a sponsor of the 2023 NCQA Health Innovation Summit taking place at the Gaylord Palms Resort and Convention Center, will discuss how its integrated quality and Stars solutions enable easier resource planning and improved member engagement at booth #224 during the event. Learn more about Cotiviti’s presence at the Health Innovation Summit at this link.
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.
Aria Marketing for Cotiviti