Medicare Stars Podcast

Globally, healthcare leaders are progressively looking to embed the principles of continuous improvement in their organizations. Enabling staff to deliver safe, equitable, high-quality, reliable care can provide a step-change in results. In this episode, Tracey provides tips on building a continuous improvement culture. Guest: Tracey Papas Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe for future episodes. Any views, thoughts, and opinions expressed in this podcast are solely that of the individual's and do not reflect the views, opinions, or position of the panelist's employer, organization, committee or other groups.

What will be the impact if every provider understands the importance of submitting CPTII and also complies? The world of quality will be much easier as submitted encounter codes will close gaps and plans will have no need for chart retrieval activities that requires resources on both sides✅ 👍👌 In this episode we discussed the importance of CPTII codes in addressing care gaps, provider barriers to utilizing CPTII codes and providing them with the resources, education, reinforcement, tools, building trustful relationship and staying persistent has proven to be helpful. It’s about impacting one provider at time. Guest: Eden Anne Encarnacion Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe for future episodes.

In this episode, we talked about the financial implications of CMS proposed changes and what plans can do to mitigate these headwind changes. Rex is the guest on this episode. Rex is a quality consultant with over 30 years of experience, the CEO of Rex Wallace Consulting. RWC was created to help health plans improve Quality. Guest: Rex Wallace Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe for future episodes.

Katharine is a HEDIS auditor, the president of Healthy People; with 25 years of experience. She is also a member of NCQA's Data Collection Advisory panel. Health People is a HEDIS audit firm. This episode is a deep dive into 2024 CMS AN, Proposed Rules, and HEDIS Public Comments released on February 13, 2023. Katharine also provides strategies on how plans can succeed with respect to these proposed changes. Guest: Katharine Iskrant Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe for future episodes.

In this session, we discussed the importance of CAHPS to Medicare Stars, and Valerie provided ways to improve CAHPS results through a partnership between healthplans and providers/healthcare organizations. She explained why setting the right expectations with members is key to member experience and provided examples of how to manage expectations. Listen to hear more. Guest: Valerie Choniuk, MPA-HCA, CPXP Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe for future episodes.

Phil shares some tips that can help in the management of an effective HEDIS season. In addition, he also provides information on 2023 CMS HEDIS changes and perspective for the future of HEDIS. Listen to hear details. Guest: Philip (Phil) Collins.  Listen in to The Medicare Stars Best Practice Podcast for discussion, insights and perspectives from subject-matter expects knowledgeable names in the managed care industry. Tune in and subscribe.