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The recent cyberattack on Change Healthcare affected clinical-decision support, eligibility verifications, chart abstractions, and pharmacy operations, and has highlighted vulnerabilities within the industry’s digital infrastructure. In light of these disruptions, plans need to explore the broader implications, particularly concerning Part D, CAHPS, Star Ratings, and the overall operational and financial health of provider networks.
Impact on Star Ratings
The cyberattack directly impacts several key areas of Medicare Advantage plan operations, potentially influencing Star Ratings for 2025 and beyond. Data related to quality measures, outcomes, and patient satisfaction – key components of Star Ratings – are at risk of being delayed, corrupted or lost. This disruption can hinder a plan’s ability to deploy quality interventions and develop future strategies to impact the critical components.
Impact on Care Coordination and Healthcare Delivery
Plans rely on seamless data exchange and communication across healthcare settings to facilitate coordinated care. The disruption to these processes can lead to fragmented care, increased medical errors, or delays in necessary treatments, all of which can negatively affect patient outcomes and satisfaction.