I received this email last week:
I’ve heard from several health plans with concerns over Stars scores falling off next year. Is there anything explicitly related to the Public Health Emergency that caused Stars scores to increase this year? Or was CMS just more favorable with scoring / cutoffs given COVID concerns.
My quick response was:
HEDIS® is coming up fast. If your organization is still abstracting charts the same way it’s done it for decades, why? Could your team review more charts, improve reliability, get higher scores and get some sleep next April? Of course. Let computers handle more of the tedious work and free up your clinical reviewers to do more clinical reviewing. But isn’t it too late?
BHA Ocular is an abstraction system that uses character recognition to locate po
We are excited to announce the launch of a new free web application to help with your Medicare Advantage planning and analysis - the “Medicare State Browser.”
This is a free tool and let’s you easily compare the size of all MA Plans within a state, overlay Star Ratings, and dr
2022 has seen a remarkable improvement in Medicare Advantage Star Ratings. This year, a record 74 plans score 5 Stars. There are multiple factors driving this improvement, notably the disaster-related adjustments for covid-19. But we also see that larger insurers are becoming increasingly savvy about Star Ratings. For your armchair quarterbacks, we provide 3 different ways of looking at the data over a 5 year period:
