WebMar 29, 2016 · CareSource Jan 2016 - Present7 years 4 months Managing HEDIS and Star Rating analytics team to drive quality strategy for MA-DSNP and Marketplace Star ratings. Additionally, focused on MyCare... WebIn HPMS, D-SNPs will have the option of one of the following two indicators: Medicare Zero-Dollar Cost Sharing Plan, or Medicare Non-Zero Dollar Cost Sharing Plan. These two indicators will be used in multiple areas within HPMS and are essential to the proper display of benefits in Medicare Plan Finder. Downloads
Dual Eligible Special Needs Plans (D-SNPs) CMS
WebMay 6, 2024 · CareSource has developed the Telehealth HEDIS® Measure Quick Reference Guide to provide guidance for activities where telehealth visits, and their related claims, may contribute to measurable quality outcomes in HEDIS ® (Healthcare Effectiveness Data and Information Set). WebApr 13, 2024 · Knowledge of and application of regulatory compliance (Medicare, Health Exchange and/or Duals), quality measures (HEDIS/ STARS) and/or accreditation standards (NCQA/ URAC) ... CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, … medication mylex
CareSource Risk & Oversight Manager II (Remote) Job in Remote
WebThis measure summarizes the number and percentage of members with an alcohol and other drug (AOD) claim who received the following chemical dependency services during … WebHEDIS measures can be updated by NCQA in an effort to continue to improve the quality of care for members, and allow consumers the opportunity to compare plans with the same criteria being used. CMS evaluates health insurance plans and issues star ratings each year; these ratings may change from year to year. ... Web• Updated specifications, value set codes, copyright, and table source information to HEDIS Measurement Year (MY) 2024 Vol. 2 for all HEDIS measures. • Updated specifications, … n able empower 2022