The 2026 Stars results continued a key trend: plans who are already high performing are still earning high scores — and making it more difficult for other plans to do so with increasingly challenging cutpoints. Next year, CMS is introducing new changes that are going to make performance more difficult for all plans, including the high performers.
Without a shift in how plans act on data, we’ll continue to see overall ratings decline.
In this webinar, we’ll examine performance patterns from Stars Year 2026 (SY26) and explore what they reveal about the increasingly competitive landscape. We’ll also discuss the upcoming changes that will further shape strategy and how plans can use these shifts to their advantage.
To close, we’ll focus on what truly drives improvement by turning Stars data into member action. Healthmine’s Quality Relationship Management™ (QRM®) platform transforms insights into execution, empowering plans to act faster, engage members meaningfully, and improve quality and risk outcomes. Powered by QRM Connect, our integrated scheduling and engagement engine, the platform bridges the gap between data and care by automatically guiding members to complete key visits through their preferred digital channel, accelerating the results that matter most.
Key takeaways:
- Performance trends from SY26
- Changes coming in 2026 and how it should influence plan strategy, such as the transition to ECDS, the introduction of EHO4All and new Part D measures
- Identify and prioritize high-impact members with personalized, omnichannel outreach and close gaps faster through intelligent scheduling, incentives and reminders.
From Stars to Strategy: Using 2026 Data to Drive Member Action and Plan Performance
The 2026 Stars results continued a key trend: plans who are already high performing are still earning high scores — and making it more difficult for other plans to do so with increasingly challenging cutpoints. Next year, CMS is introducing new changes that are going to make performance more difficult for all plans, including the high performers.
Without a shift in how plans act on data, we’ll continue to see overall ratings decline.
In this webinar, we’ll examine performance patterns from Stars Year 2026 (SY26) and explore what they reveal about the increasingly competitive landscape. We’ll also discuss the upcoming changes that will further shape strategy and how plans can use these shifts to their advantage.
To close, we’ll focus on what truly drives improvement by turning Stars data into member action. Healthmine’s Quality Relationship Management™ (QRM®) platform transforms insights into execution, empowering plans to act faster, engage members meaningfully, and improve quality and risk outcomes. Powered by QRM Connect, our integrated scheduling and engagement engine, the platform bridges the gap between data and care by automatically guiding members to complete key visits through their preferred digital channel, accelerating the results that matter most.
Key takeaways:
- Performance trends from SY26
- Changes coming in 2026 and how it should influence plan strategy, such as the transition to ECDS, the introduction of EHO4All and new Part D measures
- Identify and prioritize high-impact members with personalized, omnichannel outreach and close gaps faster through intelligent scheduling, incentives and reminders.
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 Stars results continued a key trend: plans who are already high performing are still earning high scores — and making it more difficult for other plans to do so with increasingly challenging cutpoints. Next year, CMS is introducing new changes that are going to make performance more difficult for all plans, including the high performers.
Without a shift in how plans act on data, we’ll continue to see overall ratings decline.
In this webinar, we’ll examine performance patterns from Stars Year 2026 (SY26) and explore what they reveal about the increasingly competitive landscape. We’ll also discuss the upcoming changes that will further shape strategy and how plans can use these shifts to their advantage.
To close, we’ll focus on what truly drives improvement by turning Stars data into member action. Healthmine’s Quality Relationship Management™ (QRM®) platform transforms insights into execution, empowering plans to act faster, engage members meaningfully, and improve quality and risk outcomes. Powered by QRM Connect, our integrated scheduling and engagement engine, the platform bridges the gap between data and care by automatically guiding members to complete key visits through their preferred digital channel, accelerating the results that matter most.
Key takeaways:
- Performance trends from SY26
- Changes coming in 2026 and how it should influence plan strategy, such as the transition to ECDS, the introduction of EHO4All and new Part D measures
- Identify and prioritize high-impact members with personalized, omnichannel outreach and close gaps faster through intelligent scheduling, incentives and reminders.
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.
