Comprehend the importance of member engagement, social influence, and member satisfaction in relation to product design and improving quality measures
Assess how to improve your current operations to abide by new CMS guidelines related to Stars ratings, specifically in a virtual environment, including CMS’s shift away from clinical outcomes as a main criterion
Identify the impact of CMS’s hold on Stars data and utilizing last year’s data on your plans revenue
Calculate how behavioral health during time of isolation can impact member health, satisfaction, and quality measures and how to overcome this issue
Examine how risk adjustment coding will change due to the necessity for the majority of member interactions being virtual
Discuss new CMS guidelines on virtual healthcare and supplemental benefits and how they could manipulate your future product offerings
Interpret the impact of SDoH on quality measures and how they will be determined