Category Archives: MCAHPS

Medicare STAR Ratings are Out!

You can download the latest Medicare STAR ratings from CMS here and read our brief summary below. MA-PD Ratings Consistent STAR ratings for MA-PD plans have remained fairly consistent since 2014, with slightly more companies receiving a 4.5 or 5.0 … Continue reading

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2014 Medicare Star Ratings show modest improvement

The CMS databases showing Medicare Star ratings for Medicare Advantage (MA) and Medicare Prescription Drug Plans (PDP) are out. Analysis shows that CMS is keeping a tight reign on the number of 5-star plans, while allowing slightly more 4.5-star plans … Continue reading

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How to achieve a 5-star rating?

Based on the most recent CMS Medicare star ratings (see our blog), one of two courses of action seems best: Emulate the successful policies, procedures and strategies employed by Kaiser Foundation Health Plans, or Launch a new Medicare Advantage plan … Continue reading

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2013 Medicare star ratings show some changes

CMS released Medicare Advantage rates on October 12th just in time for the 2013 open enrollment period. The results show a 20% increase in the number of 4.5 and 5 star Medicare Advantage plans for 2013. According to a CMS … Continue reading

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You can lead a horse to water… or, managers still have to manage

Background Improving the customer experience for patients and health plan members, at the highest level, is based on a simple process.  Measure the right things, evaluate, take action, re-measure, evaluate, take action and so on.  We know the right things … Continue reading

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Medicare Case-mix Adjustments Can Penalize Plans with Healthy Members

If you improve the mental and physical health of your Medicare members then your Medicare CAHPS® (M-CAHPS®) scores can actually decrease.  The case-mix adjustment factors applied to certain M-CAHPS® satisfaction ratings for quality measurement and plan comparisons negatively impact the raw … Continue reading

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