The Star Ratings Ground Is Moving. Your Strategy Shouldn’t Depend on Where It Settles.
As CMS sets a 30-day clock for member outreach, the line between members who keep their coverage and those who lose it will come down to communication clarity. Learn what the Interim Final Rule requires, who it applies to, and how plans can deploy compliant, plain-language outreach before the mandatory window closes June 30, 2026.
Meeting Medicaid’s New Community Engagement Requirements
As CMS sets a 30-day clock for member outreach, the line between members who keep their coverage and those who lose it will come down to communication clarity. Learn what the Interim Final Rule requires, who it applies to, and how plans can deploy compliant, plain-language outreach before the mandatory window closes June 30, 2026.
Modernizing Utilization Management Communications to Meet CMS Prior Authorization Requirements
Learn how health plans can modernize utilization management communications to meet CMS prior authorization timelines, improve notification compliance, and reduce operational strain.
mPulse Highlights 2025 Growth and Announces Leadership Appointments to Drive Next Phase of HXI Capabilities in 2026
LOS ANGELES–(BUSINESS WIRE)–mPulse, a leading provider of Health Experience and Insights (HXI) technology, today announced strong financial results for 2025, closing out the year with strong year-over-year revenue and profitability growth driven by organic expansion and the acquisition of Clarity Software Solutions. On the heels of mPulse’s Chief Product Officer appointment in Q3 2025, the company continued to elevate […]
Using Member Analytics to Drive Actionable Engagement for Health Plans
Health plans today face both significant challenges and unprecedented opportunities to drive meaningful change. Disparities in care still impact too many, and nearly 9 out of 10 U.S. adults continue to struggle to understand and act on their health information. Yet at the same time, the technology, data, and digital engagement tools available today uniquely […]
mPulse Delivers Strong Q3 Results, Gains Forrester Recognition, and Makes C-Suite Appointment
The company continues demonstrated market leadership in health experience and insights through acquisition of Clarity Software Solutions, new Chief Product Officer, and Forrester industry recognition for customer experience. LOS ANGELES–(BUSINESS WIRE)–mPulse, a leading provider of Health Experience and Insights (HXI) technology, today announced strong revenue execution and profitability in the third quarter of 2025, including […]
How to Improve CAHPS Performance: An Action Plan for 2026
CAHPS surveys have long been central to measuring health plan performance, but their influence has grown significantly. With member experience now carrying greater weight in Star Ratings, plans must move beyond treating CAHPS as a compliance exercise. It is no longer enough to simply measure member experience — the challenge is to improve it in […]
2026 Star Ratings Retrospective: Stabilization Without Breakthrough
Introduction Following the release of the 2026 Star Ratings in October, Medicare Advantage and Prescription Drug Plans (MA-PD) have had time to digest results that signal a pivotal shift in the industry landscape. After years of steady decline, ratings have stabilized, but meaningful improvement remains elusive. As plans navigate heightened regulatory scrutiny, evolving measure weights, […]
Activate2025: Key Themes and Takeaways
Key Insights for Advancing Trust, Innovation, and Member-Centricity in Healthcare In recent years, trust has taken center stage in healthcare, forming the foundation for effective relationships among patients, members, providers, and health plans. However, the increasing complexity of healthcare creates barriers between constituents and makes it harder to establish and maintain trusting relationships. AI presents […]
CMS is Sunsetting Standard Direct Enrollment (SDE): What Does This Mean for Carriers?
On August 25, the Centers for Medicare and Medicaid Services (CMS) announced that it is discontinuing Direct Enrollment for performance year (PY) 2026. Here’s an overview of what carriers should know: When does this update take effect? CMS’ SDE service will be disabled on October 31, 2025. What should carriers do to prepare? Carriers who […]