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 full weeks instead of one week to review data and submit feedback.

As CMS communicated on March 31, 2020, previously reported 2019 HEDIS and CAHPS scores are being used for 2021 Rating and are published again in this plan preview. In addition, the draft technical notes CMS aligns with the information described in the 2021 Call Letter. The following changes have been implemented:

  • Weight increased from 1.5 to 2 for member experience measures:

Member Experience Measures Weight Change

  • Statin Use in Persons with Diabetes increased from weight of 1 to 3
  • Plan All-Cause Readmission is retired for the first year
  • Controlling Blood Pressure is retired for the second year

Given the short window to provide feedback, plans should validate the accuracy of measure rates immediately. Any concerns about the data provided should be communicated to CMS by 5:00 PM Eastern Time on August 17, 2020.

After validating the accuracy of the data, it is important for plans to start end-of-year pushes now. There are about four months left in 2020 for plans to impact 2022 Star Ratings. With the increased weights to member experience measures, a key to success is connecting with each member via their preferred mode of communication to ensure each receives needed care and services. It is critical that plans start preparing for the 2021 plan year; the member experience for that plan year will be weighted at 4 in the 2023 Star Rating.

HealthMine is a leading engagement and reward solution, empowering individuals to take the right actions to improve their health. As such, we assist plans with transitioning from a campaign-centered approach to continuous member engagement and a focus on member experience. We are a single configurable solution offering multiple modules that provide a seamless experience for your members. HealthMine’s communication package is reviewed with clients as a part of the implementation, eliminating the need for our clients to create custom communications. Through a multi-modal registration strategy, we can maximize the proportion of your plan’s members interacting with our platform. Our member experience platform can provide members a digital mock CAHPS Survey, Net Promoter Score, and a mini-Health Outcomes Survey. Plans can utilize this member-reported information to improve the member experience and ultimately improve performance on CAHPS measures.

For more information on how to plug into the digital surge and improve member experience, feel free to contact me at james.haskins@www.healthmine.com.

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