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Interoperability is Key in Achieving Higher HEDIS Scores and Star Ratings
Higher HEDIS scores and Star Ratings are crucial to achieve full reimbursement and provide your members with the best care experience. In fact, for a health plan with just 100,000 members being evaluated by HEDIS, each quality measure would equate to around $17 million from federal or state agencies, and there are 20-25 measures directly tied to reimbursement. In addition to reimbursement, CMS Star Ratings are directly related to the percentage of HEDIS measures met. This translates to losses or gains in revenue as Star Ratings are something the public is very aware of when shopping for a health plan.

One of the critical components in achieving these measures is the ability to access and use data from systems across the healthcare industry. Giving health plans in-workflow access to the right data and tools to validate information across care activities helps them really focus on outreach and treatment activities to fill real gaps in care and ensure a positive member outcome.

Join us for this webinar to learn how solving the interoperability puzzle benefits your organization and your members.

Oct 27, 2022 01:00 PM in Eastern Time (US and Canada)

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Speakers

Andrew Borgschulte
Principal Product Marketing Manager @Surescripts
Andrew is currently the Principal Product Marketing Manager for the Inform Care Decisions portfolio at Surescripts. In this role, he is charged with driving growth and demand of the solutions, in addition to messaging, sales enablement and project management. He brings a unique understanding of the industry stakeholders through his experience with PBMs, health plans, physicians, EHR vendors and health systems. Before joining Surescripts, Andrew spent a decade in marketing roles at healthcare organizations including Elsevier and DrFirst.
Ferris Taylor
Executive Director @HealthCare Executive Group
Prior to becoming Executive Director at HCEG, Ferris served as COO of Arches Health Plan in Salt Lake City, Utah. Ferris founded Pragmatic Health Care Solutions, a healthcare strategy and market positioning firm, served as VP of Payer Market Strategy at Optum, VP Marketing and Planning at Partners Healthcare, and head of Marketing Information Services at Harvard Pilgrim Health Care. Ferris is a BYU graduate in Nuclear Physics with an MBA in finance and quantitative economics.