Scenario Modeler

How to use the Scenario Modeler:

Stars 2025 Performance Scorecard - Scenario Modeler

Scenario Modeler Tool User Guide:

Overview

The Scenario Modeler Tool enables users to simulate the impact of different performance measures on their overall Medicare Star Ratings score. By adjusting projected scores, users can assess potential outcomes and strategize for improvement.

Getting Started

  1. Access Scenario Modeler: Log into your dashboard and navigate to the Scenario Modeler section.

  2. Select a Contract: From the drop-down menu, choose the contract you wish to model scenarios for.

Editing Projections

  1. Adjust Measure Projections: Locate the blue cells corresponding to each measure. These are editable fields where you can input new projection scores.

  2. Enter Scores: Click on a blue cell and type in your new projected score for that measure. Press Enter or click outside the cell to save the entry.

Reviewing Impact

  1. Automatic Recalculation: The model will automatically recalculate your overall Star Ratings based on the new projections you've entered.

  2. Cut Point Forecast Proximity: Examine how close your new projections are to the next cut point that could affect your Star Rating.

  3. Additional Points: Understand any additional bonus points you could earn for reaching the next Star level for each measure.

Analyzing Outcomes

  1. Model vs. Target: Compare your model's projected scores against target scores to identify gaps.

  2. Improvement Goal: Set an overall improvement goal for your Star Rating and see how your new projections affect the remaining gap.

  3. Reward Factor Analysis: Evaluate how the new projections impact your Reward Factor and overall rating.

Scenario Management

  1. Save Scenarios: You can save different scenarios for future reference or comparison.

  2. Load Scenarios: To review or further edit a saved scenario, simply load it from your saved list.

Tips for Effective Scenario Modeling

  • Experiment with different combinations of projected scores to see which measures have the most significant impact on your overall rating.

  • Focus on measures where small improvements can lead to substantial gains in star ratings.

  • Pay attention to the "QI Eligible" column to prioritize measures that qualify for Quality Improvement efforts.

Remember, the goal of the Scenario Modeler is to enable strategic planning by visualizing how changes in performance measures can influence overall Medicare Star Ratings. Use this tool as part of your broader quality improvement initiatives to maximize your plan's potential.

For detailed instructions and support, refer to the Help section or contact the support team directly through the platform.

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