HealthLeaders Media November 11, 2021
‘The challenge is, how do plans maintain and increase Star scores in the clinical measures for higher-risk members while proactively enhancing the customer experience,’ poses one executive.
KEY TAKEAWAYS
– Medicare Advantage payers are preparing for a significant shift in Star Ratings measures: the quadruple weight of patient experience.
– This change comes in the face of questions about Star Ratings parity and whether the program still paints an accurate picture of quality and cost-effectiveness.
– Despite these challenges, plans must act by maximizing the value of their internal data and operational structures to maintain high ratings.
It has been exactly one month since the Centers for Medicare & Medicaid Services (CMS) published its 2022 Star Ratings for Medicare Advantage...
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