The past two years have seen some marked changes surrounding the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) and The Centers for Medicare & Medicaid Services (CMS) Star Rating.

In 2022, NCQA HEDIS introduced new and revised measures intended to advance health equity for health plans, as well as added five measures to address pediatric dental care, safety and appropriateness, diabetes care, and social needs screenings and interventions (see NCQA Launches New HEDIS Quality Measures For Health Equity). For Star ratings, CMS has a proposed rule that would include a health equity index for . . .

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Marketing & Business Development

Marketing and business development are essential for raising organizational awareness, gaining customers, and making sales. For health and human service provider organizations, understanding the needs of the consumer population that is served by the organization and developing a service that meets their needs at a fair cost is key. A marketing strategy must be integrated within an organization’s strategic plan in a way that will ultimately foster growth and support the organization’s overall business goals—from identifying the objectives and conducting a market analysis, to marketing strategy development and implementation.


Health and human services organization executives are under increasing pressure to drive growth in markets defined by heightened competition and ongoing consolidation. This growth can come about in many different ways, including mergers, acquisitions, organic growth that leverages both existing and new services, and expansions into new markets and consumer groups. Many executives understand that to be successful, they must design and execute a robust strategic plan. What is often missed is a solid marketing… Read