Blog

How will the COVID Pandemic Affect Health Insurer and Provider Quality Rating Scores?

The pandemic caused a great downturn in health care utilization and a great migration of services to online platforms.  What this has done to enduring relationships providers and health plans have with their customers will be seen in upcoming CAHPS scores.  However, those surveys won't measure the impact of specific consumer experiences on their health system quality ratings...
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Research for Diagnosing CAHPS and QRS Ratings

Regulatory surveys such as Medicare’s Consumer Assessment of Healthcare Providers and Systems (CAHPS), and the Affordable Care Act’s Quality Rating System (QRS), are designed to deliver a set of metrics that allow health plan comparisons...
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List Scoring Examples for Medicare and Individual/Family Plans

List Scoring uses propensity scores enabling health plans to prioritize prospects, leads, and existing members based on the likelihood of their behaviors...
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Understanding Rapid Disenrollment

Medicare Advantage plans (MAPDs) spend a lot of money acquiring new members, so it is particularly harmful to their financial performance when new enrollees leave the plan within the first few months after their membership starts (a phenomenon known as rapid disenrollment)...
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Marketing and Ad Testing — the Time is Right

When health plans need to grow, every bit of market share has to be fought for, marketers are called to meet the challenge of attracting membership. To accomplish this, the look and messaging of promotions have become objects of closer scrutiny...
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Flexibility is Key to High Value Medicare Advantage Benefit Design

In recent years, CMS has made dramatic changes to the regulation of Medicare health benefits.  In this blog we discuss the emphasis the agency has placed on flexibility.  Two January reports from Deft Research illuminate the value of flexibility in Medicare benefit design...
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