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Article | January 6, 2022

2022 Outlook: Plethora of ‘Granular’ Changes Will Drive MAOs’ Stars Strategy

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Reprinted with AIS Health permission from the January 6, 2022, issue of RADAR on Medicare Advantage With continued emphasis on member experience, several new Part C measures and a directional shift to closing health care inequities, 2022 stands to be…

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Article | January 6, 2022

Signify Health Rolls Out Value-Based Solutions Partner Program January 10, 2022 Source: Home Health Care News

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Reprinted with AIS Health permission from the January 6, 2022, issue of RADAR on Medicare Advantage For the Medicare Advantage industry, change wasn’t a major outcome of the Biden administration’s first year in office. But for 2022, MA organizations face…

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Article | December 16, 2021

Rewards and Incentives Rule Has Compliance, Stars Implications

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Reprinted with AIS Health permission from the December 16, 2021, issue of RADAR on Medicare Advantage Although it may have gone largely unnoticed by Medicare Advantage plans this year, a clarification regarding rewards and incentives (R&I) programs embedded in an…

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Article | October 21, 2021

Beneath High Ratings, MA-PD Stars Scores Show Shortcomings

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Reprinted with AIS Health permission from Oct. 21, 2021 issue of RADAR on Medicare Advantage. Thanks to numerous flexibilities granted to plan sponsors during the COVID-19 public health emergency, nearly 70% of Medicare Advantage Prescription Drug (MA-PD) plans earned an…

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Article | October 8, 2021

Will New Release of 4+ Star Plans Hasten the Depletion of the Medicare Hospital Insurance Trust Fund? Key Takeaways & Implications for Plans Coming Out of Recently Published 2022 Star Ratings

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Star Year 2022 Ratings have officially posted, allowing Medicare Advantage beneficiaries to compare plan options based on quality. This year, more beneficiaries will select from above-average plans, with 68% of MA-PDs (322 contracts) earning 4 stars or higher for Star…

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Article | September 8, 2021

Star Year 2022 Second Plan Preview: Everything You Need to Know

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Several changes have been made between the 2021 Star Ratings and the 2022 Star Ratings; below is a summary of key measure and methodological changes, as well as the impact they may have on your plan. Key Changes for Star…

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Article | August 6, 2021

What You Need to Know About CMS’​ Recent Flurry of MA Star Ratings Reports, Data and Notifications

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Yesterday evening CMS released a number of key documents for Star Year 2022 and 2023 including a last-minute announcement that the two, triple weighted HOS outcomes measures will be moved to the display page effective Star Year 2022 and 2023…

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Executive Briefing | December 16, 2020

Provider Data Management: A Longstanding Problem – Amplified in 2020 and Beyond

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YOUR PROVIDER DATA QUALITY PROBLEM MAY BE BIGGER THAN YOU THINK… AND IT COULD BE GETTING WORSE Under normal circumstances, inaccurate provider data presents significant operational and financial challenges for health plans. In 2020, these problems have been exacerbated across…

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