Latest CMS Star Ratings Spur Interest in Clean and Complete Clinical Data

By Published On: December 3rd, 2020

Following the release of the 2021 Medicare Advantage (MA) Star Ratings, health plans are seeking better ways to improve clinical data quality to meet digital quality measures. Star Ratings thresholds and requirements become more stringent year after year, creating challenges for health plans to keep up.

The MA Star Ratings system helps Medicare beneficiaries, their families, and their caregivers compare the quality of Medicare health and drug plans. Medicare health and drug plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance.

Verinovum, a health data curation and enrichment technology company, has taken notice and is offering solutions. “A health plan with a Star Rating of 4 in 2020 may have slipped to a 3.5 in 2021, even if their member satisfaction and quality scores remained the same,” said Verinovum Chief Strategy Officer, Mike Noshay. “It’s going to come down to having the best quality clinical data so each organization can achieve their best quality and financial outcomes.”

Read the full press release here. 

Click here to learn more about the Tailored Medicare Advantage Data Gap Assessment.