Star Ratings and Member Experience: Two Sides of the Same Coin
The challenge? Maintaining high Star Ratings or improving upon existing ratings gets increasingly difficult over time.
Does Chronic Disease Management in Medicare Advantage Need a ‘Retail’ Makeover?
Adopting consumer strategies from leading retailers can give MA plans an edge in an increasingly competitive market filled with new entities while improving quality, reducing cost, and improving member loyalty.
With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
Papa Launches Programs To Address Health-Related Social Needs, Improve Star Ratings
Companion care company Papa has created two programs for health plans: one that addresses social drivers of health and one that aims to improve health plans' star ratings.
Leveraging Personalized Digital Engagement to Elevate Medicare Advantage Star Ratings
With the Centers for Medicare & Medicaid Services (CMS) releasing annual changes that impact all facets of the MA Star Ratings program, health systems and providers need to stay ahead of these changes and navigate them effectively by leveraging technology that can guide and optimize the complete patient journey.
Healthcare Consumers and Leaders Are Disserved by Subjective and Perception-based Rankings
Instead of leaning on the arbitrary and subjective nature of prominent, perceived prestige-focused industry rankings, health systems must shift to a data-driven and mathematically sound approach to determining and benchmarking quality.
Medicare Advantage Plans Need to ‘Win’ on Consumer Experience in 2023
With the elevation of member experience measures in Star Ratings, CMS is signaling a broader transformation in the role payers can and should play in the care delivery system.
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A Personalized Approach to Medication Nonadherence
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Star ratings for Medicare Advantage, Part D see sharp drop for 2023, CMS shows
There are 260 MA plans with Part D coverage that received four stars or more for 2023, a share of about 51%. This is a steep decline from 2022, when there were 322 plans with four stars or more, accounting for about 68% of plans.
California sues nation’s largest nursing home operator for ‘cutting corners’ in patient care
The state of California is suing Brookdale Senior Living for alleged patient safety violations at 10 nursing homes in the state and for providing false data to boost its CMS star rating. Brookdale denies both claims.