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1up AnalyzeIn today’s Medicare Advantage (MA) landscape, cost accountability is the hot button issue taking center stage, with CMS constantly refining Star Ratings to offset the financial incentives of capitation. As Star Ratings grow more complex, they also open up significant opportunities for improvement. By harnessing the power of modern computing, interoperability, and FHIR APIs, health plans can unlock new ways to boost performance, optimize care, and ultimately drive better outcomes for both their business and their members.
In this webinar, we cover:
- The Essentials of Star Ratings: Understand the evolving Star Rating system, what gets measured, and why these quality scores are absolutely critical to your plan’s long-term success.
- Why Large-Scale Data Analytics Matters: Ratings are the result of complex calculations and plan optimization of scores requires sophisticated allocation of resources to address scores over a mix of outreach, clinical care, and provider incentives.
- Why Interoperability Matters: Explore how API interoperability to communicate with providers and patients is the key enabler for meeting Star Rating goals, and why a solid data-sharing foundation is crucial for any MA plan looking to excel.
- How 1upHealth Can Help: Learn how 1upHealth’s platform and our CMS Access APIs can support your plan by integrating comprehensive patient data, streamlining communications, and optimizing performance across key Star Rating measures.
Watch the webinar replay to learn how the intersection of interoperability and Star Ratings can transform your MA plan, and how to stay ahead in this rapidly evolving healthcare landscape.
Speakers
Dr. Donald Rucker
Chief Strategy Officer
Dr. Donald Rucker serves as Chief Strategy Officer at 1upHealth, bringing decades of experience in health IT policy and clinical informatics. He previously held the position of National Coordinator for Health IT at the US Department of Health and Human Services, where he led efforts to advance interoperability standards. Dr. Rucker’s background includes roles as a practicing physician, EHR developer, and healthcare executive at organizations like Beth Israel Deaconess and the University of Pennsylvania.
Andrea Kowalski
Chief Product Officer
As Chief Product Officer, Andrea Kowalski oversees the product strategy at 1upHealth. She brings deep experience within the healthcare technology industry as well as a strong commitment to solving customer problems and unlocking new opportunities. Prior to joining 1upHealth, Andrea served as SVP of Products at Tebra, where she led product and design and oversaw the product strategy across the Tebra platform. Prior to that, she held roles at athenahealth and Citibank.
Nolan Kelly
Chief Customer Officer
As Chief Customer Officer at 1upHealth, Nolan Kelly is responsible for driving business growth and overseeing customer relationships. He has extensive experience in healthcare technology, having previously led Enterprise Sales at PatientPing and served as VP of Growth at Linkwell Health. With over 15 years in the industry, Nolan specializes in developing strategic partnerships and delivering innovative solutions for value-based care and population health management.
