CMS STARS RATING DATA MANAGEMENT

A computer-based method for managing CMS (Centers for Medicare and Medicaid Services) Stars program data includes storing historical CMS raw scores and Stars ratings in a database, which is in communication with a computer system having a user interface. The database is updated with CMS measurement...

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Bibliographische Detailangaben
Hauptverfasser:	WARD TERRENCE, CLASEMAN PAUL, NICHOLS MATT
Format:	Patent
Sprache:	eng
Schlagworte:	CALCULATING COMPUTING COUNTING DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES PHYSICS SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
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Beschreibung
Zusammenfassung:	A computer-based method for managing CMS (Centers for Medicare and Medicaid Services) Stars program data includes storing historical CMS raw scores and Stars ratings in a database, which is in communication with a computer system having a user interface. The database is updated with CMS measurement data (or Stars rating data) for an insurance program, for example a Medicare Advantage Part C or Part D insurance plan or contract. The computer system is used to calculate CMS raw scores for the insurance program, based on the updated CMS Stars rating data. CMS Stars ratings are modeled and output to the user interface, based on the calculated raw scores.