WEBINAR

Mapping the Health Equity Index: Insights for MA Plans

The Health Equity Index (HEI) challenges Medicare Advantage and Dual-Eligible Special Needs Plans (D-SNP) plans to reduce health disparities for members with social risk factors (SRF) by coordinating data-driven interventions to maintain Quality Bonus Payments.

Watch an HEI webinar and develop innovative strategies to identify, support and engage members with SRF with scalable initiatives. Experts in Star Ratings and health equity outlined the quality, mathematical and operational components of the HEI to enable health plan teams to accelerate performance to achieve or maintain quality bonus payments.

The webinar presented regulatory insight from:

  • Kimberly Swanson, Chief of Staff
  • Dwight Pattison, Executive Advisor
  • Mallory Mueller, Vice President of Population Health and Equity

Get the on-demand webinar, presentation slides and HEI checklist to maximize Star Ratings performance through the HEI program.

Watch the recording to:

  • Review a clear definition of what health equity, social determinants of health and social drivers of health (SDOH) mean at the member-level
  • Understand the role of social needs and community engagement in directing health equity initiatives towards the root causes of disparities
  • Get an overview of CMS’ health equity framework and recent regulatory changes that impact health equity, including new:
  • Changes within the NCQA’s accreditation and HEDIS reporting requirements that impact health equity
  • Map out the HEI timeline, when it will replace the Rewards Factor and when the two-year look-back period will impact Star Ratings
  • Explore the mathematics behind the HEI, which Stars measures are included in the calculations and which plans are eligible to earn bonus points
  • View examples of how CMS will calculate HEI bonus points at a measure-level and how the median performance across contracts will determine rewards
  • Map out strategies to begin collecting SDOH and SRF data to support initiatives
  • Develop talking points to share with leadership teams to gain organizational support and access resources to implement HEI initiatives
  • Determine what to do if a contract does not qualify for the HEI and how to maintain or secure quality bonus payments through targeted Star Ratings improvements
  • Build a business case for addressing social needs to improve overall plan performance alongside HEI rewards and Star Ratings

Reach out to us to create a plan-specific strategy to advance health equity for members with SRF and strengthen Star Ratings performance. 

Dwight Pattison is a consultant with over twenty years of healthcare industry experience focused on quality management, performance improvement, data analytics, and reporting. Fueled by a strong background in Medicare and Medicaid reporting and regulatory compliance, Dwight has directly led MCOs in achieving significant performance improvement results across numerous markets and product lines.
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Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance.
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More Resources from Mallory Mueller BSN, RN
Kimberly is a healthcare expert with more than 15 years of experience advising health plans through her robust knowledge of quality improvement solutions. Utilizing her strategic insights into HEDIS scores, NCQA measures, Star Ratings, Health Equity, population health management, and member satisfaction, Kimberly develops innovative strategies for connecting patients to care and improving plan performance for her clients. Kimberly has completed a Foundations of Health Equity Research certification through John Hopkins University.
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