Improve Star ratings
Score higher on the CMS Health Equity Index (HEI) by aligning plan features and benefits with health equity needs.
Simulate performance of plan design alternatives for various components of the Health Equity Index. Ensure plan aligns with the health equity needs of target geography while meeting other KPIs as well.
Score higher on the HEI. Improve top and bottom lines.
Simulate performance of plan design alternatives for various components of the Health Equity Index. Ensure plan aligns with the health equity needs of target geography while meeting other KPIs as well.
Score higher on the HEI. Improve top and bottom lines.
Score higher on the Health Equity Index (HEI)
Increase Social Risk Factor (SRF) Enrollment
SRF enrollment for a contract needs to be above a certain level to qualify for an HEI Score
SRF enrollment for a contract needs to be above a certain level to qualify for an HEI Score
settingsIdentify
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Review gaps in SRF enrollment for various plans within a contract.
settingsSimulate
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For each Plan, simulate various scenarios to increase SRF enrollment.
settingsModify
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Adjust plan features and benefits to attract more SRF enrollees.
Future proof HEI Score
SRFs are expected to evolve and more populations added to the current LIS/Dual and Disabled.
settingsPlan
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Identify potential future SRF segments in addition to the current ones.
settingsAnalyze
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For each such potential segment, analyze projected plan performance.
settingsEnsure
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Adopt designs and features which would work well with diverse SRF groups.
