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Journal of Business Intelligence and Data Analytics

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JBID


ISSN : 2998-3541


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Article Title

Leveraging Data Analytics to Explore the Impact of CMS Medicare Measures on Health Screens and Stars Supplemental Provider Rating in Enhancing Preventive Care Approaches

  • Author Name: Kishor Kumar Amuda, Surya Rao Rayarao, Krishna Moorthy Selvaraj, Satya Sukumar Makkapati, Seetaram Rao Rayarao, Dr. Suryakiran Navath, Ph.D.
  • Affiliations: Incredible Software Solutions, Research and Development Division, Richardson, TX, 75080, USA
  • Published Date: 2024-02-05
  • DOI: https://doi.org/10.55124/jbid.v1i1.234
  • Views: 20

Abstract

This manuscript presents a comprehensive investigation into the impact of CMS Medicare Measures, specifically focusing on key health screens - Blood Pressure, A1C levels, EDCEYE screenings, Flu vaccinations, Breast Cancer screenings, Colorectal Cancer screenings, and Kidney health assessments. Additionally, the study explores the role of Stars Supplemental Provider Ratings in shaping and improving preventive care approaches within the CMS Medicare framework. The objective is to unravel the synergistic influence of both CMS measures and provider ratings in enhancing patient outcomes through preventive care strategies. The Centers for Medicare & Medicaid Services (CMS) Medicare Measures serve as benchmarks for healthcare quality assessment. This research focuses on elucidating the effectiveness of CMS Measures in shaping preventive care strategies. Additionally, the study delves into the role of Stars Supplemental Provider Ratings, examining how provider performance ratings further contribute to the promotion of preventive care within the CMS Medicare framework. Using advanced statistical methods, the analysis explores trends, correlations, and patterns associated with health screens and provider ratings. Preliminary findings suggest that higher CMS Medicare Measures correlate with improved health screen outcomes, including better management of Blood Pressure, A1C levels, adherence to EDCEYE screenings, increased Flu vaccination rates, enhanced efficacy of Breast and Colorectal Cancer screenings, and more proactive approaches to Kidney health assessments.Furthermore, the study examines the alignment of Stars Supplemental Provider Ratings with CMS Measures, exploring whether higher provider ratings are indicative of a stronger commitment to preventive care. The research seeks to unveil how providers with superior ratings contribute to the evolution of preventive care approaches, fostering a culture of proactive health management and positive patient outcomes. This research has practical implications for healthcare policy, practice, and future research initiatives. By understanding the collaborative impact of CMS Medicare Measures and Stars Supplemental Provider Ratings, stakeholders can refine strategies to incentivize and recognize providers who excel in preventive care. Ultimately, this study contributes valuable insights to the ongoing discourse on healthcare quality improvement within the CMS Medicare framework.

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