
Mastering CMS Medicare Star Ratings: A Strategic Guide For Medicare Advantage Leaders
To meaningfully move the needle on your Star Rating, your strategy should align with the specific questions and categories that the CMS uses to evaluate performance. Here’s a clear breakdown of the survey-based HEDIS and CAHPS questions that Medicare Advantage Organizations (MAOs) can proactively influence to improve their Star Ratings. These measures are particularly impactful because many are high-weighted (3x+) in the Star Ratings formula, meaning even small improvements can significantly aff...