Main Library
How bright is your star shining? If you’re looking to improve your Star Rating with the Centers for Medicare & Medicaid Services, you’ve come to the right place. Your Star Rating isn’t just a once-a-year focus, it’s a year-round effort. We asked our team of experts for their tips to improve your ratings. Here’s what they said.
1. Focus on weighted measures.
To ensure continuous performance improvement, Star Rating measures, weights, and methodology change annually to reflect CMS’ priorities and address parity across measures and plans. “Weighted measures are those selected by CMS to evaluate health plan performance, and they play a critical role in the health plan’s ability to earn a 4-plus Star Rating,” says Sarah Fitzharris, a value-based care manager at DataLink.
So, what can payers do to engage provider groups? “Align provider incentives to performance on these measures and hire staff to work with providers and members on these weighted measures,” says Kelly Kolepp, the value-based care team manager at DataLink.