Marketscape Strategy Idea Center
This data is publicly available but it would be helpful to have it integrated in the solution when looking at MA Data.
Idea Center Question/Checklist |
Response |
Is this a product enhancement/web, data adjustment, or new metric? |
Metric (publicly avail, no new calculations) |
Name and description of metric. |
MA Plan star ratings |
Who would use this (New or Current MSSPs or DCE's, physician group, health plan, specific client, etc.)? |
Requestor is a PAC |
Who's requesting this (internal idea or specific client)? |
Sante |
What is the client trying to solve? What is the problem they are facing? |
Eliminate the need to look up star ratings independently/outside of Mosaic |
Why do they need this? |
Evaluate the quality of each MA plan against each other (using the star ratings) |
Do we have a form of this today (readmission rate vs risk adj, is it in Marketscape)? |
No |
What benefits would this bring? (i.e. Enhance performance, Customer Retention/Value, New Business, New Industry/Market, Competitive Differentiator, etc.) |
Less use of outside data by customers |
What provider types need this metric (Physicians, Hospitals, ACO's, etc.)? |
Analyze Pages with MA tabs: Physician, Hospital, HHA, SNF |
Where does this data need to be reflected in the product (Explore, Analyze, etc.)? |
Analyze pages |
What patient population should this be for (All FFS, Attributed to current ACO/DCE, Assigned bene's to an ACO or DCE, Attributed to new ACO/DCE, DCE population, etc.) |
n/a / MA Patients |
What timeframe of data do they need - date range and type of data (latest complete performance year, rolling 12 months, quarterly, etc)? |
MA tables display the most recent year and year prior - however, we would need to confirm how often the ratings could be updated. |
Does this metric need to be risk adjusted, unadjusted, or both? |
No |
Are there assumptions we should account for (i.e. For metrics that cross over years 2019 Assigned and 2020 Assigned Bene's to respective Quarters)? |
Star ratings are associated with individual contract numbers |
Are there any exceptions (Exclude ACO's not active in 2018, providers no longer active, etc.)? |
N/a |
Indicate how to handle values where there is insufficient data or PHI (exclude all providers with <11 readmissions or replace all <11 with avg readmission rate)? |
We should just use "No star rating avail" or N/a since this data is public knowledge |
If going in explore, what EAV category tag should this show up under? |
N/a |
What is the impact of not doing this (client retention, lose a sale, etc.)? |
Clients will need to continue to reference outside sources |
Is this a high, medium, low priority (must have, compliance requirement, etc.)? |
Low for now - idea submitted to improve usability and product stickiness but data is publicly avail. |
Is there a defined date when this is needed by? |
No |
Additional Notes: |
