Seeing The Stars

Earlier this week, we looked at NCQA’s Health Plan Star Rating Program—and how provider organization executive teams need to think about managing their performance around those measures (see HEDIS In Action).;The rating system is applied to commercial, Medicaid, and Medicare health plans (see Assessing Health Plans’ NCQA HEDIS Performance).

But there is another health plan rating system—the CMS quality bonus program.;Medicare Advantage (MA) plans are paying a lot of attention to those ratings these days.;The current focus is a flurry of health plan lawsuits challenging the validity of the Star rating . . .