Posts

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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

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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.

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Helping Clinicians Help Your MA Plan: How Healthcare Technology Improves Clinician Experience and Member Outcomes

Medicare Advantage (MA) health plans are being held to increasingly high standards of quality, cost and member experiences via the

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Engaging the Chronically Unengaged to Complete the “Last Mile” of Star Ratings Success

Presenting together with other industry experts at the 2023 RISE Star Ratings Master Class, AdhereHealth Chief Commercial Officer, Glenn Wirick

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2023 Year in Review: Top Blogs Featured Health Equity, CMS Proposed Changes and the Need to Address SDOH Barriers

As we prepare to turn the page on 2023, it can help to reflect on what’s occurred in the Medicare

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Addressing and Resolving Food Insecurity and Other SDOH Barriers is Key to Improving Medication Adherence and Health Equity

The social determinants of health (SDOH) are inextricably linked to healthcare outcomes. Up to 80% of outcomes are tied to

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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

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Member Engagement Combined with HEDIS Strategy: Key to Star Ratings Improvement 

Change is constant in the Medicare Advantage (MA) market. Coming off some transformative adjustments to scoring calculations (e.g., “TukeyGate,” guardrail

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The Impact of Stars 2024: An Interview with Industry Leader Mick Twomey

The PP2 results were concerning, if not alarming, for many MA plans. And now, with the subsequent release of the

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Understanding Barriers to Care: Using Proactive SDOH Resolution to Maximize HEI and SNS-E Star Rating Performance  

As the Medicare Advantage (MA) market continues to face more challenges, MA plans are met with the annual task that

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