HOS: More Than Just the Other Survey
Over the last four cycles of the CMS Stars program, the 4 Star cut points for the HOS and CAHPS-based measures have remained relatively stable. Since 2017, some measures such as Improving or Maintaining Mental Health have seen a slight decline from...
Prioritizing Member Satisfaction Tomorrow Is Too Late
The HEDIS-based measures have long been the focal point of the Star Rating Program for Medicare Advantage plans. Even as CMS made changes to the program, there remained a consistent correlation between strong performance in HEDIS-based measures and...
Navigating Plan Preview in a Pandemic
On August 7, the 2021 Star Ratings kicked off with the announcement of the first plan preview. This marks the first time that official performance data on all scored measures are presented in a single report. This year CMS is allowing plans two...
On-Demand Webinar: How Member Engagement & Rewards Help Close Health Disparities
There’s no doubt about it: data, quick intervention, and effective communication all drive positive health outcomes. When these elements come together, real change occurs. As populations continue growing more diverse, it’s up to health plans to...
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...
On-Demand Webinar: How to Impact Your Plan’s Performance & Increase Member Satisfaction
On May 13th, HealthMine’s COO Amy Lung co-presented a webinar with Rex Wallace, Star Ratings expert, titled “Understanding the Changes to the Medicare Star Program: How to Impact Your Plan’s Performance & Increase Member Satisfaction.” The...