WellCare Expands MedAssurant Partnership to Focus on CMS Five-Star Quality Ratings Goals
BOWIE, Md., Feb. 20, 2012 /PRNewswire/ -- MedAssurant, Inc., a leading provider of data-driven health care solutions, today announced that WellCare Health Plans, Inc. (NYSE: WCG), a leading provider of government-sponsored health care programs, has selected MedAssurant's Star Advantage™ and INDICES™ solutions for a multi-year engagement to provide an integrated capability to both better understand and meaningfully impact its CMS Five-Star Quality Ratings. The combined solution leverages the nation's most widely used health care quality measurement system, large-scale health care dataset analytics, and a nationwide clinical operations infrastructure to proactively identify, and both efficiently and effectively resolve gaps in member quality outcomes.
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Star Advantage's predictive analytics are informed by MedAssurant's Medical Outcomes for Research on Economics and Effectiveness (MORE2) Registry™ which contains more than 5.2 billion medical events from more than 77 million unique de-identified individuals. Leveraging the unprecedented insight afforded by this comprehensive dataset, Star Advantage provides WellCare near-real-time insight to identify highly specific opportunities for quality improvement. An additional analytical layer is applied to determine ideal intervention modality, venue, content, and timing for optimal member and provider engagement and gap resolution success. MedAssurant's nationwide infrastructure of clinical call centers, message fulfillment, integrated data platforms, and in-market clinical personnel numbering in the thousands brings to bear an end-to-end capability from analysis to impact -- enabling meaningful quality outcomes improvement.
"WellCare is focused on leveraging innovative approaches that both improve our quality outcomes and help us enhance health and quality of life for our members," said Walter Cooper, Chief Administrative Officer of WellCare. "We are pleased with the opportunity to continue working with MedAssurant and are confident that the unique capabilities offered by the Star Advantage and INDICES solutions will play a key role in helping us achieve our service and quality goals."
"MedAssurant understands the importance of quality outcomes and the necessity for today's leading health care organizations to have detailed, timely insight into their CMS Five-Star Quality Ratings," said Keith Dunleavy, M.D., President and Chief Executive Officer of MedAssurant. "Even more critical, however, is to have visibility into the predictive progression of these quality ratings and the intervention capabilities to support the achievement of targeted goals. Throughout our relationship with WellCare, we have been very impressed by their attentive approach to best practices with both their members and providers. It is a pleasure to work with a partner that is so clearly and consistently dedicated to these values."
The MedAssurant and WellCare relationship dates back to 2008 when MedAssurant began coordinating clinical data accuracy and claims analytics solutions for WellCare's Medicare lines of business. In 2010, MedAssurant and WellCare expanded their relationship to add prospective analytical processes (known as Prospective Advantage™). With this expansion of the relationship, MedAssurant will now implement its Star Advantage and the INDICES solutions.
About the MedAssurant Solutions
- Star Advantage™ enables health plans to both better understand and meaningfully improve their CMS Five-Star Quality Ratings by leveraging the nation's most widely used health care quality measurement system, large-scale health care dataset analytics, and a nationwide clinical operations infrastructure designed to provide deep, dynamically updated insight into clinical quality outcomes and highly sophisticated gap closure capabilities -- end-to-end. Informed by MedAssurant's Medical Outcomes for Research on Economics and Effectiveness (MORE2) Registry™ which contains more than 5.2 billion medical events from more than 77 million unique de-identified individuals, Star Advantage gives health plans near-real-time insight needed to identify highly specific opportunities for quality improvement; derives detailed intervention planning for each specific member's needs, history, behavior and current situation; and then brings to bear highly targeted gap-closure operations using MedAssurant's national and local clinical resources.
- INDICES™ Reporting and Business Intelligence platform leverages OLAP cube technology and customized pre-calculated analytics to enable health care organizations near-real-time insight into member, provider, and clinical facility care, utilization, quality, disease, demographic, risk score and financial trends and performance. INDICES brings further value by providing comparative insight against over 77 million patients -- enabling users to not only gain deep insight into their own performance with industry-leading detail, but also against highly relevant comparatives otherwise unmatched in the marketplace.
About WellCare Health Plans, Inc.
WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. The company served approximately 2.6 million members nationwide as of December 31, 2011. For more information about WellCare, please visit the company's website at www.wellcare.com.
About MedAssurant, Inc.
MedAssurant, Inc. is a leading technology-enabled health care solutions provider focused on the importance of health care data and its ability to drive dramatic, objective improvement in clinical and quality outcomes, care management and financial performance throughout the health care community. Proprietary health care datasets, aggregation and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess and deep human resources, empower MedAssurant's advanced generation of health care assessment and improvement through highly informed solutions. Driven by a mission to improve today's health care landscape, the employees of MedAssurant proudly apply care, ingenuity and dedication to delivering a new approach to health care touching nearly 120 million Americans -- one driven by data and insight -- one resulting in meaningful action. Please visit www.medassurant.com for more information.
SOURCE MedAssurant, Inc.