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Managing the Impact of CMS' 2016 Final Call Letter

April 27, 2015

Access this webinar to learn more about the changes released by CMS in its 2016 Final Call letter. This webinar will provide valuable insights into how these changes may affect your health plan and how you can optimize strategies for improved quality and risk adjustment accuracy.

The webinar addresses:

  • Health plan capitation rates for Medicare Part C and Part D; e.g. increases or decreases in reimbursement to Medicare providers
  • Changes to the Hierarchical Condition Categories (HCCs) that are relevant to the Medicare Advantage risk adjustment accuracy program
  • Recalibration of risk factor coefficients and changes to disease interactions in the risk adjustment accuracy model
  • Changes in the way CMS handles the submission and use of supplemental diagnosis codes for risk adjustment accuracy purposes
  • Methodology changes to 2016 Star measures, including controlling blood pressure, plan makes timely decisions about appeals, medication adherence measures, and more
  • New 2016 Star measures and returning measures
  • Star Rating forecasting for 2017 and 2018

Speakers:

  • Kristopher Volrath, General Manager, Clinical and Quality Outcomes Solutions, Inovalon
  • Matt Caminiti, Senior Manager, Risk Adjustment Solutions, Inovalon
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