PDP Members Flock to Large Plans in 3.5-Star ‘Sweet Spot’
Reprinted with AIS Health permission from the October 22, 2020, issue of Health Plan Weekly. Based on current enrollment figures, virtually every Medicare beneficiary who signs up for a stand-alone...
On-Demand Webinar: Deep Dive Into the 2021 Star Ratings
Every year when the Centers of Medicare & Medicaid Services (CMS) releases the Star Ratings for Medicare Advantage (MA) plans, two major questions immediately surface: What happened this year...
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,...
Surprise! Part II of the 2022 Medicare Advantage & Part D Advance Notice is Here
In one last “October Surprise,” the Centers for Medicare and Medicaid Services (CMS) has released Part II of the 2022 Medicare Advantage and Part D Advance Notice three months early, allowing plans...
Average MA Star Ratings Fall; United, Anthem See Big Drops
Reprinted with AIS Health permission from the Oct. 9, 2020, issue of Health Plan Weekly. Star ratings for Medicare Advantage plans declined across the board for 2021, signaling an overall drop of...
Highlights from the 2021 Medicare Advantage Star Ratings
The Centers for Medicare & Medicaid Services (CMS) have released the 2021 Star Ratings for Medicare Advantage and Prescription Drug Plans (PDPs or Part D plans), and like most news happening...
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...
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...
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...
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...
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...
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...