RISE Radio Highlights Industry Takeaways from Melissa Smith on the 2022 Medicare Star Ratings


The holiday season may be ramping up with parties, family dinners, and much-needed vacations, but for Star Ratings teams, this is one of the busiest times of the year for different reasons. It has been a month since CMS announced the 2022 Medicare Star Ratings, and the results have sparked dozens of questions about the impact of new measures and regulations next year.

To help answer some of those questions, Melissa Smith, Healthmine’s EVP of Consulting & Professional Services, and Liz Haynes, the Director of Risk Adjustment at Blue Cross and Blue Shield of Kansas City (Blue KC), showcased their expert knowledge of the Medicare Star Ratings as guest presenters on episode 10 of RISE Radio by breaking down the latest on cut points, the role of CAHPS, and the critical importance of member experience. As an extension of the dedicated healthcare community that is RISE Health, RISE Radio tackles the most pressing and complicated issues in healthcare, with a focus on: Quality & Revenue; Member Acquisition & Experience; and Social Determinants of Health.

Takeaways from the 2022 Star Ratings Podcast

On this episode, Melissa and Liz discussed:

  • Recent announcements about the 2022 Medicare Star Ratings and what health plans can interpret from the abnormally high ratings across the industry
  • How CMS’ “Better of” COVID-19 relief impacted (and likely overinflated) the 2022 Stars results
  • Embracing the importance of a member-centric engagement approach and becoming a partner, not just a “payer”
  • Defining a holistic approach to quality improvement that incorporates member engagement, provider engagement, and risk adjustment to create a seamless member experience
  • What’s top of mind for key leaders heading into December and the often-dreaded Q4 push
  • How the changes in CAHPS are signaling a larger shift in the healthcare industry towards consistent member experience and comprehensive care
  • Why plans must continue to optimize their member engagement strategies to keep momentum moving forward into 2022

If you have questions about how your Star Ratings will stack up going forward, you will want to listen to RISE Radio and hear Melissa and Liz’s insightful guidance.

Listen to the podcast here: https://www.risehealth.org/insights-articles/rise-radio-episode-10-liz-haynes-melissa-smith-on-2022-medicare-star-ratings-and-what-plans-must-do-to-maintain-those-scores/ 

In addition to speaking on RISE Radio, Melissa and Liz will be the keynote speakers at RISE’s 12th annual Ratings Master Class. The conference will run from December 14-15 in San Diego. If you are planning to be there, make sure to attend Melissa and Liz’s keynote address “A Holistic Approach to Raising Star Ratings” on December 14 at 9:10AM PST. Healthmine will also have an exhibit booth at the event, and we encourage you to stop by, say hi, and learn more about how we can help you reach your Star Ratings and quality improvement goals.

Listen to the RISE Radio podcast featuring Melissa Smith

Melissa is a well-known thought leader and healthcare strategist with proven success developing enterprise-wide solutions to improve Star Ratings, HEDIS scores, quality performance, health outcomes, and the member experience. As EVP of Healthmine’s advisory division, she helps clients evaluate market dynamics and opportunities, optimize distribution channels, and fulfill strategic planning needs.

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