Clinical Support Services created a value-based adherence program for health plans to stay on track with the proportion of days covered for fragile populations.
Here's what you should know:
1. CSS plans to help plans cover at least 80 percent of eligible days.
2. The 80 percent threshold is essential for plans to achieve a high star rating from CMS.
3. The adherence program captures the reasons for non-adherence and attempts to understand the root cause of the issues.
4. CSS believes the program will help plans meet Medicare Part C and Part D bonus criteria.