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How to Improve Scores on Medicare Advantage CAHPS Surveys

    Why Medicare Advantage CAHPS Survey Scores Matter Nearly 28 million people are enrolled in Medicare Advantage (MA), and the eligible population, aging Baby Boomers, is growing steadily every year. In fact, MA provides care to nearly half of those 65 and over. MA CAHPS surveys are conducted annually […]

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Carriers Should Engage Providers to Improve Quality of Care

In December 2022, we gave our recommendations on how to improve Star ratings by improving member experience. This topic is worth expanding on as a strong relationship between carrier and provider can significantly improve Star ratings. So, let’s dive deeper to determine how carriers can work with providers to improve […]

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Spotlight on Composite Measures: How Providers Can Impact Scores

In case you missed it, we recently provided a comprehensive overview of Medicare Advantage (MA) CAHPS surveys and shed light on why they matter to carriers and providers. This annual survey is sent out to MA members in the following categories: Medicare Advantage (MA-Only), Medicare Advantage Prescription Drug plan (MA-PD), […]

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Why Medicare Advantage and Prescription Drug Plan CAHPS Surveys Matter

Let’s set the scene. In the United States, all baby boomers will be age 65 or older by 2030, the age at which they are eligible for Medicare. The “gray tsunami,” as it is often referred to, will have far-reaching impacts across society. Perhaps most notable is in the health […]

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Star Ratings and Member Experience Go Hand in Hand

Back in July, we briefly mentioned the changes to the breakdown of CMS Star Ratings and, most notably, the increased importance of member experience. Let’s dig into the full scope of how CAHPS scores will affect overall Star Ratings in 2023, why member experience matters, and measures that can be […]

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CMS Final Rule: Highlights and Changes for 2023

Toward the end of each calendar year, CMS announces updates and policy changes to Medicare that will affect providers and patients for the upcoming year. This year’s announcement fell on November 1, 2022, and by and large, it demonstrates an overall effort to increase access to health care in underserved […]

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Achieving Health Equity: How the CMS Framework Affects Health Care Organ...

To better address systemic inequalities in America’s health care system and following an executive order from President Biden, CMS is launching a comprehensive assessment of health equity over the next decade, the CMS Framework for Health Equity 2022-2032. Let’s examine health equity and how it’s been addressed so we can […]

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How to Increase Patient Engagement

Gathering patient feedback is a critical component of the success of any organization in the healthcare industry. Improving scores of patient experience surveys can feel insurmountable, but through data and analytics, it is achievable. Building relationships with patients to assure them that their feedback is essential and impactful can also […]

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Making the Most of Data

MIPS and Data Collection At the midpoint in the MIPS timeline, many clinicians are focused on performance categories and payment impacts. With some of the changes in the 2022 performance year, it is important to consider some of the ways that data collection and analysis can impact MIPS scores. The […]

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Why Patient Experience is Especially Important Now

Lasting Effects from COVID It is no secret that the pandemic has had a lasting impact on health care systems, and in turn, on patient experience. As defined by AHRQ, patient experience is “the range of interactions that patients have with the health care system, including their care from health […]

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