It is time to focus on achieving a higher star rating on HEDIS. As many as a third of Medicare enrollees choose the Medicare Advantage driving payors to capture a sizable market share. Payors have to be nimble and demonstrate value differentiators to members and providers for a continued increase in member enrollment and retention. One of the ways to attract Medicare Advantage membership is to drive the HEDIS star rating. Increase in the star rating from 3.5 to 4 could mean additional benefits through rebates and bonuses that can quickly scale revenues. A four-plus star rating can attract enrollees to a plan as the rating would indicate the plan’s ability to perform well in the five focus areas of care and customer service that drive the HEDIS rating. A five-star rating would enable enrollment of members throughout the year allowing more members to switch. However, HEDIS metric collection and reporting continues to be a complex process despite the use of tools and technology. Understanding current processes and data challenges is crucial to enhance data collection accuracy and efficiency and achieve an improved HEDIS star rating. We can then enable providers with the right tools to share the data on time.
The webinar will provide an overview of various common processes and data challenges amongst payors and identify areas of opportunities to enable providers and payors to comply with accurate data collection using text mining and intelligent automation.
Vice President(VP) and Regional Head, Healthcare Infosys Limited
Venky is the VP and global head of the Infosys healthcare industry vertical. He is responsible for the profitable growth of the healthcare business of Infosys. He is responsible for developing the healthcare strategy of Infosys, leading market innovation, building high-performance teams, and managing critical relationships with senior client executives in the healthcare industry. He has a deep understanding of the healthcare business and specializes in leveraging technology to solve business problems at scale.
Venky has spent over two decades with Infosys and has a broad experience spanning multiple industries and geographies. He has won a multitude of excellence awards and gold standard awards for outstanding achievement ranging from thought leadership in the industry to client management. He holds an undergraduate degree in mechanical engineering and has completed an executive leadership program from the Stanford Graduate School of Business.
Senior Principal, Business Consulting Healthcare and Life Sciences (HLS)
Jayanthi is a business intelligence consultant with over 25 years of experience, who has enabled transformational initiatives in healthcare and life sciences including strategy definition, solution design, and implementation. She has developed niche industry-specific solutions, handled sales enablement, and managed client relationships.
She has led a $10 million Medicaid implementation program for a state for a year. The state is a leader in the transformation initiative of Medicaid. She has been extensively involved in platform design for regulatory compliance, functionality, UI/UX, data migration, and training. She has closely worked with the CXO suite and government stakeholders for successful delivery and roll out.