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The Voice of Melissa Smith
It’s official – the Star Ratings “busy season” is underway! As is always the case, the Centers for Medicare & Medicaid Services (CMS) is allowing a very short review window during the first plan preview period, with all feedback due by THIS FRIDAY, August 17 – so time is of the essence!
We have received many questions in recent weeks regarding the Centers for Medicare & Medicaid Services (CMS) plan to increase the weight of Patient Access and Experience Star Ratings measures from 1.5x to 2x as announced in the Final Rule. Because this has such significant impact on Star Ratings strategies and investments, we want to share some of these questions (and our responses):
At Gorman Health Group, we have the privilege of collaborating with organizations across the full spectrum comprising our members’ experience – from health plans and providers to vendors and pharmacy benefit managers (PBMs) – and though almost every person I talk to in every type of organization strives to create excellent member experiences, many struggle to successfully do so. The Centers for Medicare & Medicaid Services (CMS) recent pledge to put patients first in all of their programs has changed the calculus of “the member experience” in Medicare Advantage (MA). We’ve heard these words for years, but this time it’s real.
With the much anticipated Advance Notice now in hand, we have our first glimpse into the Centers for Medicare & Medicaid Services (CMS) proposed changes to the 2019 and 2020 Star Ratings. Though CMS hasn’t yet proposed any noteworthy changes (or removed any measures) as part of its “Meaningful Measures” or “Patients Over Paperwork” initiatives, there are plenty of proposals to be carefully considered. Here’s a quick summary of CMS’ proposals impacting the 2019 Star Ratings: Read more