2018 Star Ratings Congress

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Monday, January 29, 2018 • 5:30 p.m. – 7:30 p.m.

Star Rating ROI – Financial Impact on Medicare Advantage Revenue, Plan Design and Synergies with Other Payment Models

Star ratings have been fully integrated into the Medicare payment methodology for several years. This workshop will discuss the financial impact of Star ratings, as well as synergies with ACOs and MIPS.

Questions to be considered include:
• What is the impact of Star Ratings on health plan revenue?
• What is the impact on plan design?
• Synergizing with MIPS, ACOs (MSSP and NextGen)
• Overlap with Medicare Advantage, ACOs, and MIPS

Tim Wilder is a Principal & Consulting Actuary at Milliman. Tim specializes in helping clients assess the risks and financial implications associated with their healthcare products, reimbursement systems, and risk-sharing arrangements. Tim has worked with insurance companies, TRICARE (USFHP), HMOs, PPOs, BCBS plans, and provider organizations for all populations – Commercial, Medicare, Medicaid, and TRICARE populations. He is on the Health Actuarial Standards of Practice (ASOP) Committee and the chairperson of ASOP #50, Determining Minimum Value and Actuarial Value under the Affordable Care Act. Tim works with all types of Medicare payment models, including Medicare Advantage, Dual Demonstration, and Next Generation ACOs.