Patient Engagement March 4, 2019
The Medicare Star Ratings methodology needs to account for the social determinants of health, many Medicare Advantage plans say.
Providing care quality transparency has been central to the medical industry’s efforts to supporting better patient care access and experience. To that end, CMS is host to Star Ratings programs, which allow patients to learn more about their Medicare Advantage plans.
But the Medicare Star Rating program may not accurately portray health plan quality, some Medicare Advantage payers say. The Star Rating methodology doesn’t take into account all of the mitigating factors that impact a payer’s ability to achieve quality outcomes, according to Erica Pham, vice president of Legal and Government Affairs at Medicare Advantage plan Clover Health.
The Medicare...
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