Posts

How to Engage the Highest-Risk Medicare Advantage Members to Capture Key Data for Health Plan Goals 

Successful performance in the Medicare Advantage environment is definitely a marathon, not a sprint—one that covers challenging, uneven terrain with

Health Equity in Action: Addressing Social Determinants of Health for Health Equity

Digital Health Transformers Podcast – How can your MA plan incorporate healthcare data technology to help members overcome social determinants

Aiming for True Health Equity? Empower the Work of Outreach Clinicians

Health disparities are unfortunately common in the United States, affecting the quality and length of life for millions of people

Conquering the Plan All-Cause Readmissions (PCR) Measure

CMS is consistently evolving the Star Ratings system to ensure high-performing, high-value plan options for Medicare Advantage (MA) members. In

The Stars Have Re-Aligned (Again): What Medicare Advantage Plans Need to Know

American Journal of Managed Care – With the 2024 Star Ratings in the rearview, Medicare Advantage plans may have received

How to Improve Star Ratings Outcomes and HEI Performance for Dual Special Needs Plans (D-SNPs)

The circumstances in which people live, work and spend their free time have an enormous impact on their intrinsic well–being.

SDOH-Sensitive Adherence Strategies for MA Health Equity Index Success

American Journal of Managed Care – The need for health equity spans the entire healthcare ecosystem, including the Medicare Advantage

Using the Quintuple Aim to Prep for CMS Star Ratings QI Hold Harmless Provision Changes

2024 and 2025 are set to be challenging years for Medicare Advantage (MA) plans, thanks to CMS’s extensive proposed changes

The Quintuple Aims of Improving Health Care Outcomes and the Impact of Medication Adherence

First Report Managed Care – The Quintuple Aim of Health Care addresses health disparities through the inclusion of its fifth

Preparing for Massive MTM Program Expansion: Pharmacy-Led Medical Cost Savings to Fund CMS Changes

American Journal of Managed Care – CMS estimates its MTM program changes will increase enrollment from 4.5 million to 11 million MA