Medicare Advantage Star Ratings

Ensure your members receive their HbA1C test. The HbA1C test is a good indication of adherence to Diabetes management regimens overtime

CMS Star Rating Measure: C15 (Triple Weighted Measure)

Percent of plan members with diabetes who had an A1C lab test during the year that showed their average blood sugar is under control

Identify members who are not currently prescribed a Statin. People with Diabetes who regularly take statins have a significantly lower risk of cardiovascular episodes

CMS Star Ratings Measure: D14

The plan makes sure members with Diabetes take the most effective drugs to treat high cholesterol

Members who have had a cardiovascular event in the past have a higher likelihood of experiencing another episode. Decrease the odds of another event by ensuring your members are prescribed a statin

CMS Star Ratings Measure: C22

The plan makes sure members with Heart Disease get the most effective drugs to treat high cholesterol

People with Diabetes have an increased likelihood of developing Kidney Disease. Preventative screenings are an important part of proactive Diabetes Management

CMS Star Ratings Measure: C14

Percent of plan members with diabetes who had a kidney function test during the year

People with Diabetes have a higher risk of developing eye conditions that can impact their quality of life. Annual eye exams are an important part of your members ongoing Diabetes Management

CMS Star Ratings Measure: C13

Percent of plan members with diabetes who had an eye exam to check for damage from diabetes during the year

Early detection of colon cancer increases likelihood of treatment. Identify members who have not completed their colorectal cancer screening

CMS Star Measures Rating: C02

Percent of plan members aged 50-75 who had appropriate screening for colon cancer

Women who have gone through Menopause have lower bone density, which can increase the likelihood for fractures. Screening for low bone density is important to identify osteoporosis early to manage the disease

CMS Star Ratings Measure: C12

Percent of female plan members who broke a bone and got screening or treatment of osteoporosis within 6 months

People with Rheumatoid Arthritis can have a significantly higher quality of life by taking an anti-rheumatic drug. Ensure your members identified with Rheumatoid Arthritis are prescribed the appropriate drug to manage their condition.

CMS Star Ratings Measure: C17

Percent of plan members with rheumatoid arthritis who got one or more prescriptions for an anti-rheumatic drug

Breast cancer is the most common type of cancer among women in the United States. Early detection is key in the treatment of breast cancer

CMS Star Ratings Measure: C01

Percent of female plan members aged 52-74 who had a mammogram during the past two years