Starting this year, Medicare Advantage plans will not be eligible to receive bonuses unless they have received a 4-star or more rating. This is causing many health plans to start feeling the pressure, since their business could take a serious financial hit if their rating falls below a 4-star rating.
Although the new system may seem like a serious issue for many Medicare Advantage plans, it also comes with some benefits. Since health plans are starting to take steps to improve their ratings, more health plans are hoping to achieve the Triple Aim, which can help them move closer to the business results that they want.
The Triple Aim, which is embraced by many health plans, health care providers, and policymakers, is made up of three factors, including:
Star ratings came about to ensure that Medicare Advantage plans are doing their best to make sure that all of their members are optimally managed and receive the best health care possible. One of the major improvements that is going to have a broad impact of the CMS rating is focus health management programs to help patients remove the personal barriers that will keep them from engaging and complying in healthier lifestyles.
Helping health care patients remove the barriers to adherence will help to improve scores in various quality measures that deal with chronic condition management. When health providers are able to provide the type of personalized assistance that patients need to understand their underlying health issues it can help to improve adherence today and for years to come.
For more information on the rating systems for Medicare Advantage plans and how they will affect your health insurance coverage, contact the insurance professionals at Sackett & Associates Insurance Services in Sonoma County, California.
Title Tag: Medicare Advantage Ratings Sonoma County CA
Meta Description: Medicare Advantage plans will not be eligible to receive bonuses unless they have received a Sonoma County, CA4 start or more rating.