Dr Ford Brewer - PrevMed Medicare Stars Program 101 With Dr Rajiv Patel - FORD BREWER MD MPH
Jun 25, 2023
Dr. Rajiv Patel, a dedicated physician, dives into the intricacies of the Medicare Stars Program, emphasizing its critical role in improving patient outcomes through preventative care. He discusses how HEDIS measures are essential for evaluating healthcare plans and enhancing member satisfaction. The conversation also highlights innovative, data-driven tools that support physicians in optimizing care for Medicare Advantage patients. Additionally, Rajiv explains the vital functions of Managed Services Organizations in boosting Star Ratings through effective data analytics.
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Purpose of Medicare STARS Program
- The CMS Medicare STARS program aims to improve patient health outcomes through preventive care and early disease detection.
- It also evaluates member satisfaction and health plan operations to ensure overall quality service.
Use Data Tools for Care Planning
- Use data mining tools to identify what screenings and measures a Medicare Advantage patient needs at each visit.
- Employ concise summary tools to capture all necessary preventive care easily during patient appointments.
Be Wary of EMR Limitations
- Do not solely rely on EMRs like Practice Fusion for HEDIS and STARS scoring accuracy.
- Combine your own data and claims to confirm patient care needs and avoid unnecessary screenings.