A Star Rating is the essential number that drives Medicare Advantage payer performance reporting and customer influence. To improve or stay on top of CMS Stars program scores, payers need a firm grasp of how to stay ahead of the game, prepped and ready for changes in the quality data pipeline system as legislation and technology evolve.
Just one single outlier performance can count strongly against a company’s ability to achieve a good score. Did you know that moving from one to two stars is eight times more impactful on rewards than moving a measure from four to five stars? It’s essential that payers understand how to leverage data pipelines to obtain those coveted 5-star ratings.
Let’s look at how payers, providers, and healthcare IT leaders can optimize their data integrity along the entire care continuum to make informed and accurate analytic, clinical, and population health decisions that improve patient outcomes.
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