Quality and Performance Measurement

Integrated Care Updates- June 2020

Hospital Inpatient Prospective Payment Systems (IPPS) Proposed Rule for Released Public Comment

New Data Detailing COVID-19 Impacts on Medicare Beneficiaries

New ICRC Fact Sheet on Integrated Appeals and Grievance Processes for D-SNPs with Exclusively Aligned Enrollment

Transitioning Members of D-SNP Look-Alikes into D-SNPs or Other Plans

MACPAC June Report to Congress

MedPAC June 2020 Report to the Congress

June 2020 Enrollment in Medicare-Medicaid Plans

June 2020 Enrollment in PACE Organizations

New Resources on the ICRC Website

Webinar Resources | D-SNP Performance Monitoring and Oversight

On April 18, 2019, ICRC hosted a Study Hall Call on “D-SNP Performance Monitoring and Oversight: State Experiences and CMS Resources” that highlighted ways for states to begin or improve their oversight of Dual Eligible Special Needs Plans (D-SNPs). In this webinar, presenters give an overview of the Centers for Medicare & Medicaid Services’ (CMS) publicly available D-SNP performance monitoring resources and share approaches used by Oregon and Tennessee to incorporate performance monitoring and oversight requirements into D-SNP contracts.

D-SNP Performance Monitoring and Oversight: State Experiences and CMS Resources

Study Hall Call
04/18/2019

This webinar covers resources and strategies available to states to begin or improve their oversight of Dual Eligible Special Needs Plans (D-SNPs). Presenters provide an overview of the Centers for Medicare & Medicaid Services’ (CMS) publicly available D-SNP performance monitoring resources and share approaches used by Oregon and Tennessee to incorporate performance monitoring and oversight requirements into D-SNP contracts.

How States Can Use Medicare Advantage Star Ratings to Assess D-SNP Quality and Performance

The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to evaluate the performance of Medicare Advantage (MA) health plans. This Star Rating system enables beneficiaries, payers, and others to compare plans across multiple dimensions. CMS publishes the Star Ratings each year – usually in October -- to help beneficiaries find the best plan for them and to determine MA quality bonus payments to plans. The lowest-ranking plans receive one star, and the highest ranking plans receive five stars. The 2021 Star Ratings are now available on CMS’ website. 

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