Health Payer Intelligence September 5, 2023
High performance on standardized quality measures like HEDIS and Medicare Advantage Star Ratings help consumers determine how to choose between healthcare payers.
Quality performance metrics such as HEDIS, Medicare Advantage Star Ratings, and standardized core quality measures can give consumers an indication of healthcare payer quality.
Standardized quality measures the quality of care and coverage a payer provides based on the regularity of services performed, improvements in patient health, and consumer satisfaction.
Commercial, Medicaid, and Medicare payers can leverage quality metrics to market their health plans as ideal insurance options for beneficiaries.
HEDIS, Medicare Advantage Star Ratings, and CQMs measure similar healthcare services and consumer-facing operations, but some quality datasets are more specialized and include metrics such as consumer satisfaction...
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