Star Ratings Take Aim at Member Experience in ‘Huge’ Shift
CMS, building on its multi-year theme of emphasizing member experience within Medicare Advantage (MA), is increasing the weight of member experience measures beginning with the 2021 star ratings. By the 2023 star ratings, member experience will represent nearly one-third of plans’ overall star ratings, potentially leading to a significant reshuffling of MA plans achieving bonuses, analysts say.
Given the COVID-19 pandemic and these changes, which take place within the pandemic’s confines, plans may need to scramble to adjust, the analysts say.
© 2023 MMIT
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