Current Month Alerts

Understanding what's on this page using example data:

1. Measures Underperforming 2022: This bar chart lists the top ten measures where the plan is currently underperforming compared to the same month last year. The measures are listed in descending order of underperformance, with 'Diabetes Care - Eye Exam' showing the most significant gap.

2. Additional Points Potential: The second chart indicates the additional points the plan could gain if it meets the Star rating goal for various measures. The measure 'Planned All Cause Readmissions' has the most significant potential to improve the overall score, suggesting focused efforts here could be particularly impactful.

3. Measures Underperforming 2022 by Measure Set: This pie chart aggregates the number of measures underperforming within each set (HEDIS, Ops, PDE) when comparing the current month to the same month in the prior year. The majority are within the HEDIS measure set, indicating this is a key area for improvement.

4. Additional Points Potential by Measure Set: This pie chart illustrates how many basis points could be added to the overall score if the goal ratings in each measure set were achieved. Most additional points could come from HEDIS, followed by Pharmacy and QI measures.

The "Current Month Alerts" section is crucial for plan management, as it highlights immediate areas of concern that may require targeted interventions to improve performance. The focus is on identifying specific measures where the plan can improve and quantifying the potential impact of these improvements on the overall Star Rating. This enables the plan administrators to prioritize actions and allocate resources effectively to improve the plan's CMS Star Ratings.