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Staying Ahead of Star Ratings – Planning & Execution Strategies

Staying Ahead of Star Ratings – Planning & Execution Strategies

Julianne Eckert

Senior Director,
Clinical Quality,
Clover Health

Julianne is an experienced healthcare executive at Clover Health, a physician enablement company focused on seniors who have historically lacked access to affordable, high-quality healthcare. She is responsible for creating an innovative data-driven strategy that breaks the traditional healthcare model to make it easier for providers and patients to deliver and receive healthcare.

She has spent her life using her personal and clinical career experiences to help drive her mission as a patient advocate by leading health plan quality improvement strategies to prevent vulnerable populations from falling through the cracks with data stories and forward-thinking programs which enable patients to easily navigate the complex matrices of healthcare and insurance. She has sweeping subject matter experience in accreditation, CMS Innovation models, Stars QI programming, NCQA HEDIS/CAHPS/HOS, and health equity, as well as national and international leadership in driving laser-focused strategies to improve health plan performance and member outcomes/experience.

She currently serves on the Board of Advisors for curriculum development for Pace University’s Design Thinking Executive Program, which meets high academic standards with a challenging interdisciplinary curriculum designed to prepare top executives to solve real-world challenges in designing innovative practices. She holds multiple certifications in Organizational Change Management, Case Management and Managed Care. She is an avid mentor and career coach, believing it is her mission to develop our next generation of leaders.

Marisa Howard

Senior Director,
MA Operations,
Evolent Health

Andre Bliss

Director, Medicare STARs,
UPMC Health Plan

Andre Bliss leads a group that develops and implements quality improvement initiatives aimed at measures involving Medicare STARs. A key role is coordinating with multiple teams on projects to improve and maintain UPMCs high STARs rating. Prior to this role, Andre was the Director of Business Intelligence and a member of the senior leadership team at Jordan Health in Rochester, NY. He has a Ph.D. from Niagara University in Leadership and Policy, an Advanced Certificate from the University of Rochester in Health Services Research and Policy, and an MBA from St. John Fisher University in Health Systems Management.

Staying Ahead of Star Ratings – Planning & Execution Strategies

Top-rated Medicare Advantage plans share practical strategies and best practices for executing a successful star rating strategy. Learn significant trends and gain critical insights to help your plan earn and sustain a 4+ star rating in an era of rapid change!

Topics include:

  • Results and lessons learned from the measure year 2022
  • Technical changes impacting star ratings in 2023 and 2024
  • Categories and measure-level weights
  • Reward factors and Improvement measures
  • Health Equity Imperative impact on star ratings

Julianne Eckert

Senior Director,
Clinical Quality,
Clover Health

Marisa Howard

Senior Director,
MA Operations,
Evolent Health

Andre Bliss

Director, Medicare STARs,
UPMC Health Plan

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