A Better Engagement Approach Can Close HEDIS Gaps

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...
CMS Stars Improvement: What to Focus on Next

CMS Stars Improvement: What to Focus on Next

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...
Mandatory CMS Star Ratings Are Coming to Exchange Plans

Mandatory CMS Star Ratings Are Coming to Exchange Plans

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...