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MLTC & Healthcare: Analysis of Managed Long Term Care (MLTC) Consumer Guide.

Updated: Jun 30, 2020

I have talked about the MLTC star rating in previous posts and videos. And one of the most popular subjects has been the calculations for the star rating.

I have shown before, even that it seems a very complicated calculation, in the end, it is possible to obtain the results in an extremely accurate way, and most importantly take advantage of this calculation before the next rating is published.

In this post, I will give a very simple example of how we can work for your company.

This is the last MLTC consumer guide published by the state of New York in March of 2018. Basically we can see how the stars are distributed per domain (every column) and overall rating (last column).

We will consider a plan, GuildNet. GuildNet is no longer a plan in MLTC cause they closed doors at the beginning of this year. But for the sake of exemplification, I believe it can be a good example.

Let's remember that for the MLTC Consumer guide, every domain can be rated with a minimum of 1 star up to a maximum of 5 stars. In total the maximum number of stars per plan can de 60, and the minimum 12.

In left-hand side table is the total of star GuildNet obtain in all the domains. They obtained 42 and in the right-hand side table, the overall was 4 stars.

By analyzing the data of the las MLTC Consumer guide, we notice that 42 total stars it was on the edge of the 5-star overall tier. This means that GuildNet could have obtained an overall 5 stars by getting just one more star in any of the domains.

Considering domains 2, 3, 5, 7, 8 and 9 GuildNet lost 14 stars by getting between 2 and 3 stars per domain. In domains 1,4, 5 and 12 they lost 4 stars by getting 4 stars in tose domain.

What can GuildNet do?

Discover where did they lose that 1 star that kept them out of the 5-star tier. And allocate resources to the right domain for the next measurement period.