Improving STAR Ratings

STAR ratings play an increasingly crucial role in overall revenues for Medicare Advantage plans through determining not only sizeable performance bonuses and rebates, but also affording plans with 4 and 5 stars a competitive advantage by allowing continual enrollment of new beneficiaries throughout the calendar year.

SeniorBridge's unique approach focusing not only on disease but also functionality is key to predicting which members will become high-cost members in the future. Our methodology enables segmentation of a population of members into appropriate care groupings:

• Lower risk members are retained in the health plan's case management/wellness programs.
• High-risk members are referred to SeniorBridge's In-Home Care Management Program.

And, with our weekly face-to-face care management program, higher quality care is delivered and member satisfaction soars. This is a win-win for both the health plan and the member!