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...
The Centers for Medicare & Medicaid Services (CMS) recently announced it will require commercial health plans to display Star quality ratings on Exchange websites. This requirement will go into effect beginning with the 2020 enrollment period. To better understand...
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...
Many health plans and some healthcare providers offer a nurse advice line to support patients and members by assessing and triaging symptoms, offering care advice and referrals, and educating members about their health. But what if the power of a nurse advice line...
Today’s consumers want healthcare organizations to provide the same anywhere, anytime interactive experiences they’ve become accustomed to in other areas of their lives. That means care delivered in a convenient location (which may be the grocery store down the street...
As the focus on health plan member experience intensifies, so does the understanding that the whole of member experience is made up of both inbound and outbound engagement touchpoints spread across different departments and teams in a plan’s organization. Beyond...
Wellness, care management and other programs are only effective—both in terms of return on investment and results—if program enrollment increases. But that isn’t always easy. In fact, a report from the U.S. Chamber of Commerce noted that about 80 percent of the...
The U.S. healthcare industry is already experiencing virtual care’s initial promise for improving access to care and creating an on-demand healthcare experience. But we’ve only seen the tip of the iceberg when it comes to deepening the telehealth consumer experience...
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...
