Medicare Advantage plans are facing a problem—high rates of gaps in care that affect HEDIS (Healthcare Effectiveness Data and Information Set) quality measures … and ultimately revenue. The solution? Not just member engagement, but a strategic and multi-faceted...
Healthcare engagement is changing—driven by new players, new models, new technology, new channels and new consumer expectations. Read our annual Healthcare Consumer Engagement Forecast to learn what our experts say are the top trends for 2020. See the predictions >...
Download our new Q/A brief for an expert’s take on CMS Stars—what’s changing, what hasn’t—and what health plans should prioritize in their Stars improvement planning. Medicare Advantage and stand-alone Part D plans are smart to keep tabs on changes to the Centers for...
Do you know the state of the Stars? To improve your CMS Stars program scores, you need a firm grasp of how the program measures are changing (and not changing) from year to year. In our new infographic, we’ve gathered key shifts that Medicare Advantage and Part D...
Carenet Health recently sponsored and hosted a CMS Stars engagement planning workshop for a select number of Stars program leaders from Medicare Advantage plans around the nation. The “Mapping the Stars” workshop was held in San Antonio, where participants gathered to...
Providing the Medicare population with the right care in the right setting at the right time is increasingly a challenge. But failure to do so can have a significant impact on outcomes, Star ratings and incentive revenue. Also challenging is engaging with those...
Medicare Advantage (MA) health plans and stand-alone Part D plans (PDPs) are increasingly focused on the Centers for Medicare & Medicaid Services (CMS) Stars system. Plan leaders want that 5-Star status and the per member per month bonus revenue and other benefits...
Health plans need to lower ER costs, no matter what type of populations they serve—from Medicaid and Medicare to private, commercial plan members. Non-urgent ER visits cost the U.S. $4.4 billion annually, and ER costs, according to a new CDC report, have doubled in...
As fee-for-service payment models continue to transition to value-based ones and consumers demand more exceptional experiences from their providers, innovative patient engagement models will become even more critical. In our latest case study, we examine what...
