Category Archives: Medicare

A lack of confidence and knowledge

Under the Affordable Care Act (ACA, also known as “ObamaCare”), every American is encouraged to seek health insurance coverage.  However, many consumers lack confidence to make health insurance choices on their own.  Less than half the Federal and state exchange purchasers, … Continue reading

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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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Health insurance research trends for 2011

The top health insurance industry market research trends for 2011 as seen by DSS Research. Continue reading

Posted in Ancillary benefits, Health Care Engagement, Health insurance exchanges, Health risk, Medicare, Segmentation, Statistics | Leave a comment

2012 Medicare Advantage Ratings are out

CMS released Medicare Advantage rates on October 12th prior to the 2012 open enrollment period.  The results show a modest increase in the number of 4.5 and 5 star Medicare Advantage plans for 2012. Downloading the plan ratings data and … 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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