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[STK]
[IN] HEA INS PHA MTC FIN
[SU]
TO BUSINESS, AND HEALTH EDITORS:
TRICAST Introduces Automated Solution Designed to Improve Poor CMS
Five-Star Quality Ratings for Medicare Part D Plans
MILWAUKEE, March 28, 2014 /PRNewswire/ -- TRICAST, Inc., the nation's
leading pharmacy data analytics company, today revealed an automated
approach designed to help Medicare Part D Drug Plans improve the star
ratings given to them each year by the Centers for Medicare & Medicaid
Services (CMS).
"This is a real game-changer for anybody concerned with real-time
Medicare Part D plan oversight," says TRICAST President Greg Rucinski.
CMS created the Five-Star Quality Rating System in an effort to
educate consumers on quality and make quality data more transparent.
The rating gives an overall score on the drug plan's quality and
performance:
-- Drug plan customer service
-- Member complaints, problems getting services, and improvement in
the drug plan's performance
-- Member experience with the plan's drug services
-- Patient safety and accuracy of drug pricing
This information is gathered from several different sources. In some
cases it is based on member surveys. In other cases, it is based on
reviews of billing and other information that plans submit to
Medicare, or on results from Medicare's regular monitoring activities.
Starting in 2010, a bonus payment for plans receiving four or more
stars was introduced. These bonus payments are also available to plans
who are not rated, either because they were too new or had too few
enrollees. The bonus payments must be used for further improvements to
the plan's benefit offerings.
Rucinski continues: "Our combination of fraud, waste and abuse (FWA),
rejection and Part D surveillance systems can help our clients almost
immediately improve in 10 of the 15 stand-alone prescription drug plan
measures being used in 2014. Nobody else has this capability."
For more information on TRICAST's pending patent, please contact Greg
Rucinski at 414.302.9733 or Email.
About TRICAST
TRICAST, Inc. is a leading pharmacy data, analytics, and consulting
firm founded in 1997. TRICAST has leveraged more than 25 years of
technology and claims processing expertise, extensive client insight
and a team of industry experts to offer forward-thinking, full-scope
pharmacy benefit oversight solutions to its clients. TRICAST provides
audit services as the core of its business, and have assessed multiple
types of pharmacy programs. The company's broad experience across
payers of widely differentiated size and type, combined with focused
experience in pharmacy, enabling the delivery of comprehensive
assessments of pharmacy programs. Learn more by going to
www.tricast.com.
Read more news from TRICAST.
SOURCE TRICAST, Inc.
-0- 03/28/2014
/Web Site: http://www.tricast.com
CO: TRICAST, Inc.
ST: Wisconsin
IN: HEA INS PHA MTC FIN
PRN
-- PH92718 --
0000 03/28/2014 12:45:00 EDT http://www.prnewswire.com
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