Navigating the Changing Landscape of Medicare Advantage Star Ratings in Healthcare
In the ever-evolving world of healthcare, the importance of Star Ratings cannot be overstated. These ratings, issued by the Centers for Medicare & Medicaid Services (CMS), have a significant impact on a health plan’s reputation, member enrollment, and financial performance. However, the landscape of Star Ratings is undergoing a transformation that requires health plans to […]
The Importance of Annual Wellness Visits for Providers, Payers, & Patients
Why The Annual Wellness Visit is So Important The Annual Wellness Visit (AWV) is an incredibly effective tool for consumer health management and is key to keeping people healthy now and in the future. This valuable time spent between provider and patient gives space to check in on progress, discuss health issues, and create a […]
2023 Star Ratings Update: Digital Engagement’s Role in Closing Diabetic Care Gaps
38% of all eligible Medicare Advantage plans saw a decrease in the Diabetes Care – Kidney Disease Monitoring measure performance from 2022 to 2023 Star Ratings. The year 2022 marks the final measurement year for this measure, with Kidney Health Evaluation for Patients with Diabetes (KED) being the proposed replacement. Acknowledging this, plans are uniquely […]
Closing Gaps in Care: What Key Strategies Should Plans Consider?
$7 billion is saved annually from preventive health services, yet only 8% of Americans are attending all recommended preventive care visits. In a perfect world where all Americans received the preventive care they need, we’d be saving over $87 billion annually. Diseases such as diabetes, cardiovascular disease, and cancer cause 7 in 10 American deaths […]
2023 Star Ratings: Experience Reigns Supreme as Equity Waits in the Wings
To say the events of the last two years had an unprecedented and unconventional impact on health plans would be an understatement. Fast forward from March of 2020 through the better of logic within The Extreme and Uncontrollable Circumstances Policy producing temporarily inflated 2022 Star Ratings to today. While we wait for either the end […]
Key Takeaways from the 11th Annual Star Ratings Master Class
mPulse’s Government Programs Strategic Market Executive, Reva Sheehan, discussed Keeping Momentum: Best Practices to Maintain or Improve Star Ratings, with Johns Hopkins, Ph.D., Director, Quality Improvement, Tejaswita Karve, at RISE’s 11th Annual Star Ratings Master Class. Here are our Key Takeaways: Member Experience Depends on Meeting Member Communication Preferences Newly weighted star measures capture anything […]
CAHPS: How to Plan for 4x Weighted Stars Measures
Earlier this month, we noted that October is the month for Medicare advantage in our discussion of the 2021 CMS Star Ratings release. Last week saw the other major Medicare Advantage event of the month, with the start of the Annual Election Period. As plans enter the member acquisition and retention season and all efforts are focused on maximizing plan […]
Strong Outcomes Require Strong Relationships
So much of the human experience is built around relationships. Family units, loved ones, friends, colleagues, local communities, and others we interact with on a regular basis (like the barista down the street) are the fiber of our outward experience in the world. Without relationships, we begin to function differently and suffer. The current pandemic […]