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ModernMedicine Resource Center
 

rise 2017

Provider relations are key when incentives are absentIn lines of care where improved outcomes aren’t paired with bonus payments, motivating providers and members to close gaps in care can be difficult.
How one health plan aims to improve qualityDeveloping and carrying out a unified strategy for quality improvement can be difficult. CareSource is outlining its goals and supporting the front lines to initiate change.
How to boost your Star ratingsThe Stars ratings are meant to ensure that every health plan is providing adequate services for members. For payers, meeting these ever-changing measures can be a challenge.
Low CAHPS scores? Try thisLow CAHPS scores are a problem for health plans, but they don’t give much information in terms of how plans can improve. Drill down surveys might be the answer.
Simplify gaps in care and improve member complianceData is key to helping providers increase member compliance, and technology has made this delivery simpler and more effective.
How your pharmacy partners impact your Star RatingsAre you tracking your prospective pharmacy partners to measure their potential impact on your Star Rating? You should be.
What health execs should know about Medicare Star Ratings
What health execs should know about Medicare Star RatingsThe Medicare Star Ratings program is one way regulators are trying to improve outcomes while reducing costs, but what is really at stake for health plans, and do consumers even care?
Three areas health plans can improve the member experience
Star ratings take center stage as CMS program moves from demonstration to reality
Star ratings take center stage as CMS program moves from demonstration to realityAs of January 1, 2015, the U.S. Centers for Medicare and Medicaid will only be awarding payments to MA plans that receive 4 stars or higher.