AJMC August 16, 2024
Health plans can improve their Medicare Advantage Star Ratings by focusing on member relationships, ensuring proper documentation, grouping measures, staying updated with regulatory changes, and optimizing their strategy based on numerical targets.
Established in 2007, the Medicare Advantage Star Ratings system was envisioned as a tool for consumers to help select a plan.1 On a recent Managed Care Cast episode, Marge Ciancetta, the product manager of Cotiviti’s Star Intelligence solution, called Star Ratings the grading system for Medicare Advantage plans.2
Plans are graded from 1 to 5 overall and for about 40 individual measures, 1 being the worst and 5 being the best. These ratings are based on their performance across various categories, like member experience, customer service, managing...
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