Health Payer Intelligence February 2, 2021
Payers that consolidate Medicare Advantage plans with lower star ratings into plans with higher star ratings deliver higher quality of care for enrollees who were previously in low-rated plans.
CMS Medicare Advantage Star Ratings accurately indicate patient outcomes, a Health Affairs study recently confirmed.
“Higher star ratings have been found to be associated with increased enrollment, better access to higher-quality nursing homes and hospitals, and lower disenrollment among patients with complex health care needs,” the researchers acknowledged. “However, many of the measures in the star ratings are correlated with sociodemographic characteristics and geography. Therefore, the rating of a contract may reflect the composition of its enrollees rather than the quality of its care.”
Researchers also noted that Medicare Advantage plans...
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