Boosting Health Plan Quality Ratings: Data-Driven Strategies for Medicaid, Medicare, and SNP Success
This complimentary webinar is brought to you by
As state and federal pay‑for‑performance (P4P) models evolve, Medicaid, Medicare, and SNP health plans face unprecedented pressure to achieve quality benchmarks. Ratings like HEDIS, CAHPS, and STAR are no longer just performance metrics — they directly fuel reimbursement, member growth, and competitive positioning. Under modern managed care contracts, failure to hit targets can trigger capitation withholds or costly clawbacks, while exceeding them unlocks significant bonuses and member auto‑assignment.
In this 60‑minute, case‑study‑driven webinar, industry leaders will cut through the noise to reveal how plans can protect revenue and improve outcomes. You’ll learn from real‑world results at Blue Cross Blue Shield of Illinois on two critical, high‑impact measures — Controlled Blood Pressure (CBP) and HbA1c control — and see how Vheda Health’s scalable “blueprint” for engagement, analytics, and virtual care can drive repeatable gains in quality, equity, and incentive payments.
Topics at a Glance
- Quality ratings’ impact on finances, growth, and health equity
- Managed care contract pressures, withholds, and clawbacks
- Deep dive: CBP and HbA1c — how to reliably improve high‑impact measures
- The Vheda Blueprint: scalable, repeatable quality improvement model
Who Should Attend
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Health plan executives
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Quality improvement leadersPs and Directors of Population Health Management
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Clinical leadership
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Medicaid & Medicare quality/compliance officers
Top Reasons to Attend
- Learn how evolving HEDIS, CAHPS, and STAR requirements directly impact revenue, member growth, and compliance in Medicaid, Medicare, and SNP plans.
- Understand how managed care contracts, pay‑for‑performance clauses, and clawbacks raise the stakes — and what tactics protect your bottom line.
- Apply proven engagement, analytics, and virtual care strategies from real‑world BCBSIL and Vheda Health case studies to improve Controlled Blood Pressure (CBP) and HbA1c scores.
- Discover how to operationalize a scalable quality improvement blueprint that drives repeatable gains in outcomes, equity, and incentive payments.
- Strengthen your approach to closing care gaps in high‑risk, underserved populations using culturally relevant, multi‑modal outreach.
