In the ever-evolving healthcare landscape, changes are on the horizon for the Centers for Medicare and Medicaid Services (CMS) Star Ratings Quality Measures program. With the 2026 Star Ratings release, CMS will factor risk adjustment metrics into overall Stars performance.
The integration of risk adjustment with quality measures will require health plans to break down silos. These efforts will foster collaboration and leverage data to improve performance. With major shifts underway, achieving and sustaining 4+ stars will require organizations to further evolve an enhanced member-centric approach.
Read this white paper to discover how health plans can take steps now to influence future Star Ratings, including:
- Breaking down silos to successfully integrate quality, analytics and risk management teams
- How to better invest in member engagement through coordinated activities
- Ideas for building health equity through member engagement
- Ways to effectively close data gaps and improve accuracy to gain credit for performance
Related healthcare insights
White paper
By applying analytics solutions, states can create a comprehensive roadmap to better health equity.
Case study
Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.
White paper
Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.