The Stars ratings are meant to ensure that every health plan is providing adequate services for members. For payers, meeting these ever-changing measures can be a challenge.
Low CAHPS scores are a problem for health plans, but they don’t give much information in terms of how plans can improve. Drill down surveys might be the answer.
A real-world study of type 2 diabetes patients by Milliman has surprising findings on glycemic control and diabetes medication adherence.
Even though cancer screenings have become more available because of the Affordable Care Act, the percentage of adults getting certain cancer screenings has not increased significantly since 2010.
A new survey from KPMG of 270 healthcare professionals found only 10% are using advanced tools for data collection with analytics and predictive capabilities.
In at least 37 states, the three largest insures account for 80% of total health plan enrollment, according to a new study by the U.S. Government Accountability Office (GAO).
The rate of hospital readmissions has been declining following the the launch of the Hospital Readmissions Reduction Program (HRRP) in 2012
Health plans have been deploying transparency tools, but they are often underutilized, not intuitive or don’t provide the whole picture.
Enrollments rolling in despite consumers' lack of knowledge, technical glitches and high-traffic volumes.
Physicians are largely unhappy with their EHR systems and given the opportunity, would unplug them immediately.