Increased Weights, Cut Points Likely Led to Drop in 2021 Stars

Reprinted with AIS Health permission from the Oct. 15, 2020, issue of RADAR on Medicare Advantage. Although more than three-quarters of Medicare Advantage beneficiaries remain in highly rated plans, the percentage of MA Prescription Drug (MA-PD) plan enrollees...

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Maximizing Medicare Advantage Bid Budget

Maximizing Medicare Advantage Bid Budget

Bids for Medicare Advantage and standalone prescription drug plans have been submitted for the 2021 plan year. This was no small undertaking for health plans given the regulation changes from CMS and the COVID-19 pandemic. Unfortunately, the work...

CAHPS Usurps HEDIS as King

CAHPS Usurps HEDIS as King

For Medicare Advantage plans, the HEDIS-based measures have been the focal point of the Star Rating Program for years. Even as CMS made changes to the program, strong performance in these measures was essentially a formula to reach a 4-Star Rating....

Maximizing Member Engagement ROI

Maximizing Member Engagement ROI

How do we effectively connect with Medicare and Medicaid members and their advocates to improve health? Data and fast action win. Effective communication wins. Population health happens one person at a time. With that said, connecting member...