To find a Medicare plan’s star rating, use the Medicare.gov plan finder tool, where you can simultaneously compare star ratings, as well as plan benefits and costs. Many plan providers will indicate if a plan has a five-star rating, but you can always directly ask your Medicare plan pro...
CMS withdraws appeal over UnitedHealth's MA star ratings lawsuit CMS has changed course on plans to appeal a court ruling that determined it must recalculate UnitedHealthcare's Medicare Advantage star ratings. ByPaige MinemyerJan 24, 2025 02:00pm ...
Cindy Henry, director of population health informatics at ZeOmega, says the program is still rebounding from COVID-19 provisions, but CMS – in incentivizing quality improvements – is raising the bar to reach top ratings. ByHIMSS TV
Utilize Health Risk Assessments (HRA) Data Effectively: Maximizing the value of HRA data by identifying and addressing care gaps early can lead to better health outcomes and improved Star Ratings. Proactive Member Engagement: Plans need to adopt real-time, agile interventions to meet member needs,...
"The Medicare Advantage and Part D Star Ratings are important tools to help people find the right option for their needs and circumstances, and make informed health care decisions," said CMS Administrator Chiquita Brooks-LaSure. "CMS encourages people with Medicare to review their covera...
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Health Care Inc. Newsletter The dropped call that took down Centene’s Medicare Advantage star ratings By Tara BannowOct. 28, 2024 Reprints Adobe You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money in medicine. Sign up to ...
Medicare Star Ratings are influenced by various key factors that evaluate the quality and performance of Medicare Advantage (Part C) and Medicare Part D Prescription Drug (Part D) plans. These factors encompass a range of measures focused on beneficiary experiences, healthcare outcomes, and plan ef...
These resources from Cotiviti help power better payment integrity, risk adjustment, quality reporting, and consumer engagement programs for healthcare payers.
Stars Performance Diagnostic:We use a comprehensive diagnostic tool to prioritize metrics and identify the highest ROI interventions to achieve high quality ratings across member experience and clinical outcomes measures. By achieving and retaining 4-star ratings and higher, payers are able to offer more...