TRUMBULL, Conn., July 1, 2015 /PRNewswire/ -- HPOne today
announced the availability of its Stars Solutions program which
supports Medicare Advantage plans as they strive to improve their
quality of care, as reflected in their CMS Star Ratings.
"The HPOne program enables executives at Medicare
Advantage plans to close care gaps and improve medication
adherence, leading to an improvement in their performance relative
to Star Ratings," said Bill
Stapleton, founder and CEO of HPOne. "We are
committed to helping insurers achieve performance improvements, and
our pricing takes into account whether our clients have improved
their targeted Star measures relative to CMS cut points."
The HPOne solution is unique because it centers on a
connection with the health plan member, backed by state of the art
technology in data analytics and CRM. HPOne-trained Care
Coordinators reach out to members in targeted outreach campaigns,
helping members to make appointments for necessary screenings and
tests and to adhere to prescribed medications. Through
partnerships with leading data analytics firms, HPOne works
with health plan clients to create accurate patient call lists with
a full complement of information to facilitate dialogue.
HPOne's state of the art CRM system enables Care
Coordinators to record key information at the point of contact,
such as the catalyst for care.
Underlying the effectiveness of the program is HPOne's
expertise in working with members over the phone. In 2014 the
company handled over 500,000 calls, from helping seniors navigate
the often complicated process of choosing the right health plan to
onboarding and retention calls on behalf of national and regional
carriers. Through its comprehensive Secret Shopper program, the
company assists health plans in configuring their call center
operations to achieve 5 Star performance relative to the Centers
for Medicare and Medicaid Services (CMS) guidelines for call center
performance.
HPOne's Stars Solutions helps insurers address the key
factors that CMS uses to determine Star ratings for insurers'
Medicare plans. The company creates a customized approach for each
client, focusing on data analytics, consumer outreach and outcomes
intelligence.
- Four customizable modules of Stars Measures – Insurers
can utilize a combination of the following for targeted outreach
campaigns to their members: preventive and screening (including flu
vaccines and breast cancer screenings); diabetes (including
medication adherence and blood sugar control); member experience
(access to care and customer service); and pharmacy (high risk
medication and prescription adherence).
- Member- and patient-focused outreach – While outbound
calling is at the core of its outreach programs, HPOne uses
a full complement of outreach media and methods including phone and
email campaigns, direct mail, and text messaging and can augment
the contact strategy with carrier-specific incentives for targeted
populations.
- Care coordination – HPOne provides insurers with
the level of support they need to help their members get access to
high quality, effective care by addressing both individual barriers
to care as well as working with physicians practice groups whose
members are not meeting care guidelines.
- Outcomes analysis – Weekly outcomes reporting keeps
insurers up to date on their progress towards established goals for
specific Star measures. The HPOne program also uses the
opportunity of member interactions to create robust member
profiles, laying the groundwork for improving the overall quality
of care across multiple Star measures.
For more information on HPOne's Stars Solutions, visit
http://www.healthplanone.com/stars-solutions.aspx.
CONTACT: Paul Stanco
HPOne
203-402-2591
pstanco@hpone.com
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SOURCE HealthPlanOne