Flashcards for:
Managed Care Performance and Strategy Updates

New OSCAR-related updates were introduced, reflecting on new slide displays and integration issues involving new workflows with data cues for pre-visit and post-visit processes.

There was a consistent emphasis on assessing data reliability, ensuring timely refreshes, and working collaboratively across teams to address discrepancies for improving overall care efficiency.

Maddie discussed performance overviews comparing year-end 2023 to year-to-date 2024 for Medicare Advantage (MA) populations, focusing on overall risk scores, risk capture percentages, and PCP activation and visits in different regions.

Engagement and risk capture differences were noted, with Florida usually performing better compared to Ohio. Discussions focused on high-performing and low-performing providers, considering roles and their impact on risk capture rates.

The focus was on optimizing data collection and interpretation accuracy, improving benchmarking techniques for enhanced performance monitoring, and better integration of tools for patient management within contracts and health plans.

The discussion revolved around utilizing ARCadia for accessing broader benchmarking data, additional costs associated with deeper data dives, and points raised about the relevance and comparison points of benchmarking among providers.

Month-over-month performance for risk capture was analyzed, with an expectation of growth once data is more complete. New visuals and charts were presented to aid in understanding trend impacts and potential outcomes.

The key topics included performance reports overviewing risk captures and patient visit statistics, updates on risk engine delays, discussion on benchmarking with ARCadia, and preliminary evaluations of new data integrations and tool implementations in patient care strategies.

Continuous monitoring and updating of risk capture statistics, potential adjustments to improve current strategies and data practices, and collaborative efforts across teams to address discrepancies and improve care efficiency were highlighted as next steps.

Updates mentioned refreshing delays in appointment data up until March 13, impacting completed visit numbers, with ongoing tracking discussed to ensure timely representation of data.