The healthcare industry is moving away from a delivery model that has historically paid for volume and shifting towards a system that pays for quality. The Centers for Medicare and Medicaid Services (CMS) has developed the Star quality rating system to rate and pay Medicare Advantage plans on quality. With the Affordable Care Act’s (ACA) payment reductions to Medicare Advantage plans, it is more important now that ever before for plans to achieve a four or five star quality rating, in order to qualify for bonus payments. Apple Health Plan, a Medicare Advantage plan in California, is proposing a provider office staff incentive program, Care Alert, to achieve a four or a five star rating and increase revenue from CMS.
|Commitee:||Acosta-Deprez, Veronica, Sinay, Tony|
|School:||California State University, Long Beach|
|Department:||Health Care Administration|
|School Location:||United States -- California|
|Source:||MAI 54/06M(E), Masters Abstracts International|
|Subjects:||Health care management|
|Keywords:||Care alert, Health care evaluation, Health care rating|
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