Uncover the impact of trusted knowledge & CMS star ratings on health insurers, PBMs, & retail pharmacy. Gain industry insights for informed decisions.
primarily affecting contracts that started in 2019. CMS has also delayed the implementation of guardrails on measure cut points until 2023 Star Ratings.
CMS is implementing a "Universal Foundation" of quality measures, which will create a core set of measures that are aligned across programs. CMS is working to include all of the Universal Foundation measures in the Part C and Part D Ratings, pending future rulemaking. Part C Star Ratin...
CMS will appeal UnitedHealthcare's MA star ratings court win HCSC tightens asthma infusion coverage, providers slam decision RelatedContent JPM25: Here are the companies and trends we're watching Jan 12, 2025 05:00pm CMS proposes increasing Medicare Advantage benchmark payments by 2.2%, or $...
five-star ratings. The options are 1) reweighting the Safety of Care measure group, 2) reducing the rating of any hospital in the lowest quartile for Safety of Care by one star or 3) combining a weight change with a policy-based four-star maximum for any hospital in the lowest quar...
d.Survey participation requirements— Table 20 (reproduced below) restates the data submission dates for FY 2023 through FY 2025. e.Proposal to add CAHPS Hospice Survey Star Ratings to public reporting— CMS proposes to introduce star ratings for public reporting of CAHPS Hospice Survey results on...
Other metrics with more exotic acronyms have experienced increased popularity in recent years, including LEBRON, a player role and luck-adjusted metric from BBall Index [7], and RAPTOR, the Robust Algorithm (using) Player Tracking (and) On/Off Ratings developed by Nate Silver of FiveThirtyEight ...
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The Hospice Quality Reporting Program will include four quality measures and will soon include Consumer Assessment of Healthcare Providers and Systems(CAHPS®) Hospice Survey Star ratings on Care Compare. The final rule will also add claims-based hospice visits in the last days o...