Archive: March 2016
RISE Nashville Summit on March 20-22nd, is “THE Premier Event for Risk Adjustment and Quality Performance Optimization for Plans and Providers.” Headlined by PharmMD’s team of experts, including Cyndi Barham, VP of Quality/Stars, Tom Sherrard, VP of Product Development and Jake Woods, Data Scientist, it’s
Stacey Grant, PharmD, Ryan Dacus, PharmD, and Jeana Cartwright, RN of PharmMD were each selected as members on the PQA Stakeholder Advisory Panels C (Grant), B (Dacus), D and A (Cartwright.). PQA measures are developed by small, technically proficient Measure Development Teams (MDTs) and Task
[By Jake Woods, Data Scientist] A critical step in looking for trends is identifying all of the variables that may possibly have a direct effect on the trend you are trying to measure. Does height correlate with better driving, measured as the number of accidents
PharmMD recognizes the value of getting your data right. StarFinderTM is our PDE reconciliation analytics and evaluation tool and could mean the difference between one Star Ratings level and the next. These analytics are available on a monthly or annual basis and may be used throughout the measurement period into the following year, protecting your revenue and decreasing your risk.
In the 2015 measurement period, our Plan & PBM partners relied heavily on PharmMD’s ability to increase productivity through a quality-drive program in order to meet new CMS Star Rating thresholds. Many of our clients experienced leaps of 2 Star year-over-year improvement, which in many cases doubled or tripled previous vendors’ performance.
CMR Completion Rate Achievements In 2016, Health Plans and Pharmacy Benefits Managers (PBMs) will continue to face increased challenges regarding their Comprehensive Medication Review (CMR) completion rates in the wake of CMS requirements and Star Ratings. In late 2015, an existing Plan partner asked PharmMD