CMS Star Rating

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  Recommendation Model

  • Published on: November, 2020
  • CitiusTech

  Recommend focus measures for potential STAR rating goals per contract based on measure-level contextual information input by the user

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  Member Outreach Model to Predict Target Responders

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict if a member will respond to outreach campaign. It helps prioritise members who are more likely to respond to an outre ...

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  Cut-off Projection

  • Published on: November, 2020
  • CitiusTech

  Predict the STAR rating cut-offs for all measures and provide projected STAR rating for contracts.

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  Provider Target Model – Clinical

  • Published on: November, 2020
  • CitiusTech

  Provider target list for each measure based on gaps within focus measures that can be influenced by the provider

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  Compliance Rate Projection

  • Published on: November, 2020
  • CitiusTech

  End of Year (EOY) score projection per contract per measure.

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  Member Outreach Model to Predict Best Channel to Communicate with Members

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict the best channel for reaching out to members, to ensure increased member response rate. It helps identify key attribu ...

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  Calibration Model – Clinical

  • Published on: November, 2020
  • CitiusTech

  Adjust compliance rate projections using weekly/monthly granular clinical measure-level progress information .

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  Member Outreach Model to Predict Best Time for Communicating with Members

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict the best time for member outreach to ensure increased member response rate. It identifies key attributes for predicti ...

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  Member Target Model – Clinical

  • Published on: November, 2020
  • CitiusTech

  Member target list for each measure based on the likelihood of gap closure upon engagement