Star Scores methods for smaller MA plans

With the Facilities for Medicare & Medicaid Companies (CMS) not too long ago deciding to recalculate the 2024 Star Ratings, Medicare Benefit (MA) plans have been carefully watching to find out the current and future affect on their packages. Specifically, smaller MA plans that lack the assets and economies of scale of main MA payers have to find out the place to make focused investments that can drive the very best affect on future rankings.

Amid these challenges, Cotiviti not too long ago joined AJMC’s Managed Care Forged to supply methods for MA plans to enhance their Star Scores. Hearken to the podcast as we focus on:

• The affect of the 2024 Star Scores on MA plans, together with some payers exiting the MA market altogether
• The methods smaller MA plans can undertake to maximise the affect of their high quality initiatives
• The “math path” strategy to optimizing Star Scores

For a deeper dive, register for Cotiviti’s High quality Decoded webinar collection as we deal with the continuing complexities of HEDIS^® and Star Scores. Be part of us on September 4 as we break down the most recent HEDIS technical specs and on October 24 as we break down the 2025 Star Scores anticipated to be launched by CMS this fall.

HEDIS^® is a registered trademark of the Nationwide Committee for High quality Assurance.