Program Description

Medicare Advantage is the fastest-growing line of business for many health plans. With increasingly more plans on the market, the CMS Star Ratings are important. Introduced in 2008, the ratings were part of a system-wide push to improve quality of care, patient and member experience, and value-based payments. The original intent behind the Star Rating system was to help enrollees make informed health insurance decisions, however, the quality bonus payment has driven health plans to create member and provider strategy targeting Star Ratings measures. By understanding how the current Medicare Star Rating program is designed and the challenges and incentives created for plan sponsors, life science companies looking for opportunities to partner can prepare an informed approach to their value proposition.

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