Connecting the Dots: The Impact of Health Disparities on Star Ratings

Melissa Smith

Healthcare quality improvement efforts have traditionally looked at healthcare policy, access to care, and the practice of medicine as some of the key drivers to improve clinical quality performance.  Significant advances have been made in recent years to expand and enhance access to high-quality care, to ensure adherence to evidence-based clinical practice guidelines, and to support standardized care pathways while still incorporating patients’ and practitioners’ decisions and preferences into the care planning process.  But as quality improvement efforts in Medicare Advantage have matured, we’ve hit a performance plateau.  Star Ratings measure performance has declined or stagnated on numerous Medicare Advantage quality measures:

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21st Century Cures Bill Slips in Some Changes to Medicare and Medicaid Programs

Olga Walther

What do medical research, Medicaid provider adequacy, and Star Ratings have in common? The 21st Century Cures Act. …

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Reflections on the Basics of Delegation Oversight

Regan Pennypacker

Imagine entering University and enrolling into Advanced French Language and Literature, a 300-level class, with no previous knowledge …

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Preparing For The 2017 Call Center Monitoring

Angela Fox

On November 16, 2016, the Medicare Drug Benefit and C & D Data Group of the Centers for …

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Insights From CMS’ Annual Request For Comments For Star Ratings

Melissa Smith

Despite the seismic transition underway in Washington, the now-annual ritual of CMS’ Request for Comments on Proposed Enhancements …

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Data Integrity: The Foundational Approach to Risk Adjustment

Jessica Smith

Risk adjustment has been around for many years now, but the terms “data governance,” “data integrity,” and “data …

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Trump Transition Team Picks Price, Verma to Head HHS, CMS; Providing Predictions for 2017 Agenda

Olga Walther

This week, Representative Tom Price was named the nominee for the new Department of Health & Human Services …

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