Health Star Rating System

Alivi Health Achieves 90% Digitization, Elevating Member Experience Through Enhanced Trackability

Retrieved on: 
Monday, December 18, 2023
Other Health, Managed Care, Professional Services, Apps, Applications, Technology, Hospitals, Health Technology, Other Transport, Insurance, Transport, Practice Management, Health, Health Star Rating System, GPS

This state-of-the-art solution guarantees accurate trip tracking and monitoring, enhancing service reliability, and minimizing member wait times while elevating overall satisfaction.

Key Points: 
  • This state-of-the-art solution guarantees accurate trip tracking and monitoring, enhancing service reliability, and minimizing member wait times while elevating overall satisfaction.
  • In an era where digital transformation is pivotal, Alivi Health stands at the forefront of transforming the NEMT industry using proprietary technology.
  • By leveraging the power of digitization, Alivi Health has achieved an astonishingly low missed trip rate of less than 0.04%.
  • Alivi Health has been wonderful," expressed a Health Plan Member.

LetsGetChecked Enables Health Plans to Increase Medicare Star Quality Ratings by +0.5 Stars

Retrieved on: 
Wednesday, November 15, 2023
Health, Telemedicine, Virtual Medicine, Practice Management, Health Technology, Other Health, Managed Care, General Health, Medicare Advantage, Health Star Rating System, Senior, Patient, Large intestine, CMS, Diabetes, Population health, Medicare, Government, Colorectal cancer, HPV, News, Pharmaceutical industry, Health insurance, Star

LetsGetChecked, a global healthcare solutions company serving top health plans, employers, and government agencies, announced today that their clients achieved higher preventive screening rates and increased Star Ratings for 2022 Centers for Medicare and Medicaid Services (CMS) H-contracts.

Key Points: 
  • LetsGetChecked, a global healthcare solutions company serving top health plans, employers, and government agencies, announced today that their clients achieved higher preventive screening rates and increased Star Ratings for 2022 Centers for Medicare and Medicaid Services (CMS) H-contracts.
  • By using LetsGetChecked to identify and test at-risk member populations for Colorectal Cancer Screening and Diabetes Care, these clients have achieved a Star Rating increase of 0.5 Stars and nearly 1 full Star, respectively.
  • CMS uses a five-star quality rating system to measure Medicare beneficiaries’ experience with their health plans and the healthcare system.
  • “The tangible impact that LetsGetChecked is having on our partners' Star Ratings is truly incredible,” said Addison Giannini, Senior Vice President of Health Plan Sales at LetsGetChecked.

Blue Cross and Blue Shield of Minnesota and Blue Plus Medicare plans are among top-rated in nation on member experience, service

Retrieved on: 
Monday, October 30, 2023
Health Star Rating System, Medicare, HMO, Medicare Advantage, Modigliani risk-adjusted performance, Blue Cross, Micro Focus Quality Center, Part, Blue Shield, Cost, Centers for Medicare & Medicaid Services, CMS, Health insurance, Nursing

EAGAN, Minn., Oct. 27, 2023 /PRNewswire/ -- Blue Cross and Blue Shield of Minnesota (Blue Cross) and Blue Plus today announced that two of its most popular Medicare offerings, Blue Cross Medicare Advantage plans and Platinum BlueSM Cost plans, have earned 4.5 out of a possible five stars from the Centers for Medicare & Medicaid Services (CMS).

Key Points: 
  • EAGAN, Minn., Oct. 27, 2023 /PRNewswire/ -- Blue Cross and Blue Shield of Minnesota (Blue Cross) and Blue Plus today announced that two of its most popular Medicare offerings, Blue Cross Medicare Advantage plans and Platinum BlueSM Cost plans, have earned 4.5 out of a possible five stars from the Centers for Medicare & Medicaid Services (CMS).
  • Overall, 100 percent of Blue Cross Medicare membership in CMS-rated plans for 2024 will be in a 4-star plan or higher.
  • Blue Cross Medicare Advantage plans are top-rated by members for customer service, receiving 5 out of 5-starsi.
  • According to Blue Cross data, more than two-thirds (78%) of Medicare member calls are successfully resolved in a single phone call.

HealthPartners unveils 2024 Medicare Advantage plans featuring broad networks and unmatched customer service

Retrieved on: 
Monday, October 23, 2023
Professional Services, Health, Hospitals, Insurance, Health Insurance, Managed Care, General Health, MA, Credit card, Kool-Aid, Medicare, Star, Maple, HealthPartners, PPO, Partnership, UnityPoint Health, Health Star Rating System, Minneapolis–Saint Paul, Patient, Centers for Medicare & Medicaid Services, CMS, Health insurance, Central Minnesota

Three HealthPartners Medicare Advantage (MA) plans received an overall 4.5 out of 5-Star Rating, including 5 out of 5-Stars for customer service, from the Centers for Medicare and Medicaid Services (CMS) for 2024.

Key Points: 
  • Three HealthPartners Medicare Advantage (MA) plans received an overall 4.5 out of 5-Star Rating, including 5 out of 5-Stars for customer service, from the Centers for Medicare and Medicaid Services (CMS) for 2024.
  • HealthPartners Journey (PPO), HealthPartners Robin (PPO) and HealthPartners UnityPoint Health (PPO) MA plans received the 4.5 Star Rating.
  • CMS bases its ratings on several clinical and performance measures including administration of care, management of chronic conditions, member experience, plan performance and customer service.
  • In addition to the support of a knowledgeable, 5-Star customer service team, HealthPartners offers plans to fit every budget and lifestyle, with options that include:
    Monthly premiums and primary care copays starting at $0.

Cotiviti to Present Industry-Leading HEDIS® and Star Ratings Solutions at 2023 NCQA Health Innovation Summit

Retrieved on: 
Monday, October 23, 2023
Professional Services, Health, Data Analytics, Health Technology, Insurance, Health Insurance, Convention center, Medicare, National Committee for Quality Assurance, Gaylord Palms Resort & Convention Center, Medicare Advantage, NCQA, Maintenance, Quality assurance, Benchmarking, Health Star Rating System, HEDIS, Centers for Medicare & Medicaid Services, National Committee, Risk adjusted mortality rate, CMS, Star, Health insurance

Cotiviti , a leader in data-driven healthcare solutions, will showcase its industry-leading Quality and Stars solutions at the National Committee for Quality Assurance (NCQA) Health Innovation Summit taking place October 23–25 in Orlando, Florida.

Key Points: 
  • Cotiviti , a leader in data-driven healthcare solutions, will showcase its industry-leading Quality and Stars solutions at the National Committee for Quality Assurance (NCQA) Health Innovation Summit taking place October 23–25 in Orlando, Florida.
  • These solutions include Star Intelligence , a powerful tool that gives Medicare Advantage and MA-PD plans the ability to track, predict, and model their Star Ratings.
  • Cotiviti, a sponsor of the 2023 NCQA Health Innovation Summit taking place at the Gaylord Palms Resort and Convention Center, will discuss how its integrated quality and Stars solutions enable easier resource planning and improved member engagement at booth #224 during the event.
  • Learn more about Cotiviti’s presence at the Health Innovation Summit at this link .

Devoted Health Achieves 5 out of 5 Medicare Advantage Star Rating for Florida and Ohio HMO Plans

Retrieved on: 
Monday, October 16, 2023
Health, Telemedicine, Virtual Medicine, Practice Management, Other Health, Health Insurance, Managed Care, General Health, Foreign language, Health care, Family, Colorectal cancer, Hypertension, CAHPS, Reconciliation (United States Congress), Cardiovascular disease, HMO, Customer service, Medicine, Medicare, Patient, Health Star Rating System, Consumer Assessment of Healthcare Providers and Systems, Health insurance, Nursing, Cholesterol, Devoted

Devoted Health , an all-in-one healthcare company for Medicare beneficiaries, delivering health insurance, access to high quality medical care, and a world-class service experience, today announced that its HMO health plans in Florida and Ohio were awarded a 5 out of 5 Medicare Advantage (MA) performance Star Rating for 2024.

Key Points: 
  • Devoted Health , an all-in-one healthcare company for Medicare beneficiaries, delivering health insurance, access to high quality medical care, and a world-class service experience, today announced that its HMO health plans in Florida and Ohio were awarded a 5 out of 5 Medicare Advantage (MA) performance Star Rating for 2024.
  • This marks the second consecutive year of Devoted’s Ohio HMO plan earning a 5 Star rating, and is the first 5 Star rating achieved by the company’s HMO health plan in Florida, Devoted’s longest-serving market.
  • Based on information received from providers, health plans, and member satisfaction surveys, the CMS Star Rating recognizes excellence in MA plan quality and performance.
  • With these results, Devoted has raised its overall Star rating across membership in Star eligible plans to 4.6, and 94 percent of all members in Star eligible plans are enrolled in a 4 Star, 4.5 Star, or 5 Star plan.

Eighty-seven (87) percent of Aetna Medicare Advantage members in 4-star plans or higher for 2024

Retrieved on: 
Friday, October 13, 2023
Investment, MAPD, NYSE, CVS Health, CVS, Breast cancer, CAHPS, HMO, PPO, Aetna, Aetna Health Inc. v. Davila, TTY, CMS, Medicare, Star, Medicare (United States), Centers for Medicare & Medicaid Services, MA, Health Star Rating System, Breast cancer screening, Pharmaceutical industry, Health insurance, Nursing

WOONSOCKET, R.I., Oct. 13, 2023 /PRNewswire/ -- Aetna®, a CVS Health® company (NYSE: CVS), announced today that 87 percent of its Medicare Advantage (MA) members are in 2024 Medicare Advantage Prescription Drug (MAPD) plans that are rated 4 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services (CMS). This represents a significant achievement, given the considerably more stringent CMS measurement criteria this year.

Key Points: 
  • WOONSOCKET, R.I., Oct. 13, 2023 /PRNewswire/ -- Aetna®, a CVS Health® company (NYSE: CVS), announced today that 87 percent of its Medicare Advantage (MA) members are in 2024 Medicare Advantage Prescription Drug (MAPD) plans that are rated 4 stars or higher (out of 5 stars) by the Centers for Medicare & Medicaid Services (CMS).
  • "We are committed to delivering outstanding experiences and driving improved health outcomes for our Medicare Advantage members," said CVS Health President and CEO Karen S. Lynch.
  • "Our strong 2024 Star Ratings for Aetna are a result of focused execution and seamless collaboration across our entire company.
  • Visit AetnaMedicare.com to learn more about the 2024 Aetna Medicare plans.

Videra Health and Baltimore Health Analytics Partner to Launch New Approach to Improving CAHPS(R) Scores

Retrieved on: 
Tuesday, October 3, 2023
Data Management, Practice Management, Technology, Managed Care, Health, Health Technology, Health Insurance, Software, Artificial Intelligence, Audio, Video, Mobile, Wireless, Health Star Rating System, Health care, CAHPS, Organization, Medicare, Artificial intelligence, Partnership, Friction, Patient, Noise, Consumer Assessment of Healthcare Providers and Systems, Nursing

Videra Health and Baltimore Health Analytics today announced the launch of a new, artificial intelligence-driven solution for health plans and other organizations working to improve Consumer Assessment of Healthcare Providers and Systems (CAHPS(R)) and other customer satisfaction scores.

Key Points: 
  • Videra Health and Baltimore Health Analytics today announced the launch of a new, artificial intelligence-driven solution for health plans and other organizations working to improve Consumer Assessment of Healthcare Providers and Systems (CAHPS(R)) and other customer satisfaction scores.
  • With CAHPS(R) scores making up approximately 33 percent of Medicare Advantage Star ratings, improving these scores helps ensure plans are working to serve their members better and can have a material impact on reimbursement for payers.
  • Videra automatically engages patients following a provider encounter via their cell phones and/or tablet, laptop, or PC, to gain insights on their encounter.
  • Baltimore Health Analytics has always helped cut through the noise and zero in on the most important things for a health plan to focus on.

Ushur Launches Health Plan Solution in Partnership With Rex Wallace Consulting and Decision Point

Retrieved on: 
Tuesday, September 12, 2023
RWC, CAHPS, Partnership, Decision Points, Health care, Health equity, CXA, Point, Intelligence, SDOH, Consumer Assessment of Healthcare Providers and Systems, Friction, Health Star Rating System, AI, HIPAA, Automation, Management, Risk management

SANTA CLARA, Calif., Sept. 12, 2023 (GLOBE NEWSWIRE) -- Ushur , the leader in AI-powered Customer Experience Automation™ (CXA), today announced a strategic partnership and joint solution with Rex Wallace Consulting and Decision Point.

Key Points: 
  • SANTA CLARA, Calif., Sept. 12, 2023 (GLOBE NEWSWIRE) -- Ushur , the leader in AI-powered Customer Experience Automation™ (CXA), today announced a strategic partnership and joint solution with Rex Wallace Consulting and Decision Point.
  • Rex Wallace Consulting (RWC) is a strategy consulting firm with deep experience in helping health plans improve quality and Star Ratings.
  • Yvonne Daugherty, Global Head of Industries at Ushur, said: “We are very pleased to partner with Rex Wallace Consulting and Decision Point to deliver a unique approach that rapidly addresses high value health plan business needs to improve quality of care, HEDIS® gap closure, CAHPS, health equity, SDOH and more.
  • “We are thrilled to partner with both Ushur and Rex Wallace Consulting to accelerate our ability to support health plans in achieving their experience and quality goals,” said Saeed Aminzadeh, CEO of Decision Point.

Press Ganey Names David Shapiro as GM and SVP, Member Experience

Retrieved on: 
Monday, August 21, 2023
Software, Technology, General Health, Health, Health Star Rating System, Heart, NPS, Growth, Human, UnitedHealth Group, SVP, GM, HX, Accenture

Press Ganey, the renowned leader in transforming the Human Experience (HX) across the healthcare ecosystem of patient, employee, member, and consumer journeys, today announced the appointment of David Shapiro as GM and SVP of Member Experience.

Key Points: 
  • Press Ganey, the renowned leader in transforming the Human Experience (HX) across the healthcare ecosystem of patient, employee, member, and consumer journeys, today announced the appointment of David Shapiro as GM and SVP of Member Experience.
  • Mr. Shapiro will lead the continued growth of Press Ganey’s Member Experience business and will be focused on delivering solutions, analytics, and insights to improve the quality, experience, and retention for all health plans.
  • “I’m thrilled to welcome David to the Press Ganey organization.
  • I look forward to working with clients to accelerate their member experience efforts, while supporting Press Ganey capitalize on its growth opportunities ahead.” — David Shapiro, GM and SVP Member Experience, Press Ganey