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...
Raising CAHPS Scores When Teams Are Lean and Budgets Are Tight
Health plans are constantly seeking ways to raise CAHPS satisfaction scores and address any member concerns before they escalate. In a perfect world, plans can orchestrate comprehensive, one-on-one engagement campaigns that monitor member satisfaction and impact CAHPS...
Two Things Medicare Advantage Plans Can Do Right Now to Tackle Social Determinants of Health
When we think of healthcare consumer engagement today, especially for Medicare populations, we typically think of ways to help close critical care gaps—reaching out with reminders, scheduling appointments, helping select providers and more. These are essential...
Close Gaps in Care: Health Plan HEDIS Best Practices Guide
The continued shift toward a value-based healthcare system has placed an ever-increasing emphasis on improving quality measures, closing gaps in care (e.g., annual wellness exams, preventive health screenings), and more effectively supporting chronic condition...