Almost every year, CMS raises the bar for STAR ratings.
Clinical Support Services works hard to know the latest rules and regulations inside and out, including health plan performance measures that can positively influence your future STAR ratings.
Through data-informed member outreach, CSS can help you achieve high STAR ratings, which will translate into CMS financial rewards, enrollment incentives, and a known standard of care among consumers.
CSS’ STARBooster program combines a number of CSS’ solutions to address adherence, CMR completion rates and high-risk medications with the elderly.
Plans do not have to change their MTM vendor or processes to incorporate STARBooster into an existing or future MTM program, and these services can be outsourced to CSS to handle on your behalf.
By deploying CSS’s STARBooster solution, you can:
- Identify members who are negatively impacting your ratings
- Encourage members to be actively involved in their care
- Improve your STAR ratings
- Improve your eligibility for CMS financial incentives
- Avoid CMS penalties
- Increase your reputation for patient wellness
- Obtain robust clinical reporting
Contact us to learn more about STARBooster and how CSS can help improve your STAR ratings.
Ask us about QualiNet Network
QualiNet is a program that identifies pharmacies within the plan’s traditional pharmacy network who have demonstrated the willingess and ability to incorporate clinical management services into their distributive operations, advancing the plan’s performance goals. QualiNet also provides the objective basis for a value based reimbursement structure for the pharmacy network. QualiNet can be focused on all STAR measures or a focused measure as required by the plan.