Fierce Healthcare December 21, 2023
Payers need to properly adapt to changes made to the Medicare Advantage star ratings program or risk financial repercussions, industry experts told Fierce Healthcare.
Among their recommendations: embrace technology, prioritize health equity and improve the member experience.
The Centers for Medicare and Medicaid Services’ annual star ratings judge Medicare Advantage and Part D plans on a one-to-five-star scale (five being the best) to determine whether a health plan is providing optimal quality of care. While they’re based on dozens of quality measures, the ratings are designed to reward successful plans and punish inferior plans, allowing customers to shop for the best deal they can.
“It’s a program that evolves and changes based on the dynamic of the environment we’re in,”...
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