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The Changing Face of Medicare

The Changing Face of Medicare- 1 in 3 seniors aging into Medicare over the next 10 years will be people of color, this trend of diversity will continue...
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A New Generation of Quality Rating Research.

In addition to managing health plans for attractive, competitive benefits and solid member retention, health plans need to account for the quality ratings produced by CMS' Star Rating System for Medicare Advantage and DHHS' Quality Rating System (QRS) for ACA plans...
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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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