A Better Engagement Approach Can Close HEDIS Gaps
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...
2020 Healthcare Consumer Engagement Forecast
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 >...
CMS Stars Improvement: What to Focus on Next with Rex Wallace
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...
CMS Stars Cut Point Analysis: A Look at 2020 Shifts for Health Plans
Download the infographic on CMS Stars cut point analysis. In our 2020 infographic, we’ve gathered key cut point and member experience shifts that Medicare Advantage and Part D plans need to know about in the CMS Stars program, including: Which (and how many) Stars...
Lessons from the 2019 Mapping the Stars Engagement Workshop
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...
Medicare Advantage Engagement Achieves 38% Readmissions Reduction—and Boosts Star Rating
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...
Best Practices for Effective 5-Star Medicare Advantage Member Engagement
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...