The 2026 Star Ratings cycle didn’t spell bad news for every plan—but it did reveal clear performance themes that all plans can use to guide Measurement Year (MY) 2026 strategy. With measure and cut-point changes hitting at the same time as the shift to ECDS — and budgets tightening across the industry — plans need clarity on where to focus next.
In this webinar, industry experts broke down the biggest shifts shaping MY2026 and what health plans can do now to stay ahead. From prioritizing high-impact measures to navigating weight redistributions and performance volatility, our panel outlined actionable strategies to drive results.
Key Takeaways:
- Top-performing SY26 measures show how plans are adapting to member needs. These trends highlight where organizations are successfully evolving and where the lowest-performing measures signal opportunities heading into MY2026.
- Cut-point changes, weight shifts, and HOS volatility demand year-round monitoring. Outreach alone won’t move scores, especially with hard-to-engage members. Plans need interventions that remove barriers — like streamlined appointment scheduling and better provider connectivity.
- Care coordination is becoming essential as CMS emphasizes outcomes and digital measurement. For time-sensitive measures like Transitions of Care and Follow-Up After ED Visit for Members with Multiple Chronic Conditions, plans need real-time data and rapid, targeted interventions, not broad outreach.
- You don’t need a perfect intervention—just one that moves the needle. The biggest risk is stalling in analysis. Plans that take action with scalable, measurable workflows will be best positioned for Stars improvement.
From Stars to Strategy: Using 2026 Data to Drive Member Action and Plan Performance
The 2026 Star Ratings cycle didn’t spell bad news for every plan—but it did reveal clear performance themes that all plans can use to guide Measurement Year (MY) 2026 strategy. With measure and cut-point changes hitting at the same time as the shift to ECDS — and budgets tightening across the industry — plans need clarity on where to focus next.
In this webinar, industry experts broke down the biggest shifts shaping MY2026 and what health plans can do now to stay ahead. From prioritizing high-impact measures to navigating weight redistributions and performance volatility, our panel outlined actionable strategies to drive results.
Key Takeaways:
- Top-performing SY26 measures show how plans are adapting to member needs. These trends highlight where organizations are successfully evolving and where the lowest-performing measures signal opportunities heading into MY2026.
- Cut-point changes, weight shifts, and HOS volatility demand year-round monitoring. Outreach alone won’t move scores, especially with hard-to-engage members. Plans need interventions that remove barriers — like streamlined appointment scheduling and better provider connectivity.
- Care coordination is becoming essential as CMS emphasizes outcomes and digital measurement. For time-sensitive measures like Transitions of Care and Follow-Up After ED Visit for Members with Multiple Chronic Conditions, plans need real-time data and rapid, targeted interventions, not broad outreach.
- You don’t need a perfect intervention—just one that moves the needle. The biggest risk is stalling in analysis. Plans that take action with scalable, measurable workflows will be best positioned for Stars improvement.
Speakers
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
From Stars to Strategy: Using 2026 Data to Drive Member Action and Plan Performance
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The 2026 Star Ratings cycle didn’t spell bad news for every plan—but it did reveal clear performance themes that all plans can use to guide Measurement Year (MY) 2026 strategy. With measure and cut-point changes hitting at the same time as the shift to ECDS — and budgets tightening across the industry — plans need clarity on where to focus next.
In this webinar, industry experts broke down the biggest shifts shaping MY2026 and what health plans can do now to stay ahead. From prioritizing high-impact measures to navigating weight redistributions and performance volatility, our panel outlined actionable strategies to drive results.
Key Takeaways:
- Top-performing SY26 measures show how plans are adapting to member needs. These trends highlight where organizations are successfully evolving and where the lowest-performing measures signal opportunities heading into MY2026.
- Cut-point changes, weight shifts, and HOS volatility demand year-round monitoring. Outreach alone won’t move scores, especially with hard-to-engage members. Plans need interventions that remove barriers — like streamlined appointment scheduling and better provider connectivity.
- Care coordination is becoming essential as CMS emphasizes outcomes and digital measurement. For time-sensitive measures like Transitions of Care and Follow-Up After ED Visit for Members with Multiple Chronic Conditions, plans need real-time data and rapid, targeted interventions, not broad outreach.
- You don’t need a perfect intervention—just one that moves the needle. The biggest risk is stalling in analysis. Plans that take action with scalable, measurable workflows will be best positioned for Stars improvement.
Featured presenters
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
Ana brings more than 20 years of healthcare and health plan experience to Healthmine. She most recently came from WellSense Health Plan, formerly Boston Medical Center HealthNet Plan. She had oversight of work related to Stars, HEDIS®, NCQA, Quality Rating System, External Quality Review Organization, population health programs, new product implementation, value-based care programs, policy advocacy and health equity programs.
Ana developed multiple innovative member and provider interventions that were integral in the successful improvement of key HEDIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) quality measures and meeting corporate and contractual goals. She has experience with successfully identifying and implementing new to industry initiatives, such as texting, with proven quality and financial improvement. Ana is bilingual in English and Spanish and has used this in community initiatives to help engage members and improve the quality of care for the Medicaid, Medicare, Affordable Care Act, and Commercial populations.
Ana holds a master’s degree from Simmons University in Health Administration and a bachelor’s degree from the University of New Hampshire.
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
