BUFFALO, N.Y., Jan. 31, 2012 /PRNewswire/ -- Medicare plans whose 2012 Star Ratings are lower than they would like, may be able to improve their scores with a new service from Clinical Support Services (CSS).
The Star Ratings Booster™ technology platform helps Medicare plans in supporting and enhancing quality performance ratings. The module enables CSS clinicians, with the support of clients' pharmacy and medical claims data, to determine a patient's compliance on select Part C/D measures and proactively generate comprehensive care-enhancing recommendations for the patient, which then may be shared with the patient's physician and/or pharmacy.
CSS's web-based module enables pharmacy claims – and other available clinical data – to be uploaded to the client's patient profiles. Using claims data and clinical source information, the MTMPath™ module allows CSS clinicians to identify patients who are non-compliant on certain Part C/D measures that would have a negative impact on a plan sponsor's CMS Star Rating, explained CSS President James Notaro, RPh, PhD. When a measure is tagged as non-compliant, CSS reaches out to the respective patient and his/her physician to bring the measure into compliance. This proactive feature gives CSS the potential to improve Star Ratings measures over time.
Star Ratings Booster has an unlimited patient capacity, and was built in accordance with HEDIS-based guidelines.
Read CSS's position paper on proposed changes to Star Ratings Measures.
Medication Pathfinder™ is a proprietary, turnkey solution for providing evidence-based medication and standards-of-care services merging pharmacy and medical claims, along with clinical data, for a comprehensive medication review. The software integrated into Medication Pathfinder – MTMPath™ – was developed by CSS to provide pharmacists and other practitioners with web-based documentation software to review a beneficiary's medications, medical claims and clinical data to assess appropriate therapy and optimize patient outcomes.
About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and operations personnel. At the heart is Medication Pathfinder™ – built in S-O-A-P (Subjective-Objective-Assessment-Plan) Note structure to help pharmacists move quickly through complex patient Medication Therapy Management (MTM) assessment procedures. Structured data storage is a main differentiating feature of the MTMPath system. Additional CSS software solutions include iDeal Wellness™ and iDeal Therapy™. Currently, more than 20 percent of 5-star Medicare MA-PDP plans are CSS clients for MTM program support/documentation.
Contact: Cheryl Krajna at (716) 541-0273, Ext. 130 or [email protected]
SOURCE Clinical Support Services, Inc.
Share this article