CMS Stars Update: Significant Changes Coming in Measurement Year 2021
** UPDATED INFORMATION AVAILABLE HERE: Infographic: 2021-23 Stars Changes and Impact Analysis ——- The following Medicare Advantage Stars update was written in February 2020 by Rex Wallace, Principal, Rex Wallace Consulting, and provides an important...
The Emerging Role of Health Plans in Behavioral Health Crisis Services
“It’s OK to not be OK.” That’s the message Olympic swimming champion Michael Phelps is on a mission to share while revealing his struggles with mental health issues. Other celebrities such as Prince Harry, singers Demi Lovato and Kendrick Lamar, and actress Emma Stone...
Optimized Member Engagement: One Health Plan’s Journey to Fewer Silos and Better Results
Download our case study to learn how one of the nation’s largest insurers increased engagement synchronicity and reduced inefficiencies. When a large and multi-faceted health insurer needed to move the needle on costs, satisfaction and outcomes, member outreach became...
Transformation Rate in Patient and Health Plan Member Engagement
To many in the healthcare industry, it’s been frustrating to witness the slow pace of change in how health systems, provider groups, insurers and others engage with their plan members and patients. Even as the transition to value-based care and changing payment models...
Healthcare Consumerism and the Role of Medicare Advantage Plans
Healthcare consumerism has been a much-talked about factor in healthcare provider and payer organizations for years. While the concept was slow to evolve, we’re now seeing the tipping point—when healthcare consumers (some prefer the word “patients”) are gaining more...
How to Motivate the Medicare Population to Close Care Gaps
Medicare members require a distinct healthcare engagement strategy. At Carenet Health, our approach is rooted in our team’s ability to form nurturing relationships with members. It also leverages our proprietary Intelligent Engagement framework—combining the power of...
The 4 “E’s” Health Plans Need to Know to Improve Medication Adherence
When your plan members stop taking their medications as directed, it can have a domino effect. Disease treatment may be halted, complications may arise and a person may end up in the emergency department or needing to be admitted to the hospital. In addition to the...