2027 Medicare Advantage Strategy: What Plans Are Changing Now for 2029 Stars
Episode Description
- Daniel Weaver, Senior Vice President, Stars and Quality, Zing Health
- Michael Farina, Vice President, Healthcare Quality, CDPHP
- Mariah Osborn, Director, Medicare Stars, UPMC Health Plan
- David Burianek, Chief Strategy Officer, MedOrion
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How existing knowledge about returning members can support action before the first HEDIS results arrive
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How CDPHP uses natural language processing to reduce clinical review time while expanding the number of measures reviewed
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What it takes to identify time-sensitive member events, coordinate follow-up and reduce duplicate outreach
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Why addressing a member's immediate need can build the trust required for future engagement
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How community relationships and member feedback help plans understand why care is not happening
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How benefit communications can help resolve questions before changes disrupt care or increase service demand
MedOrion's report, Removing the Blindspot: Making HOS and CAHPS the Advantage, explores how Medicare Advantage plans can build a more coordinated approach to member engagement across the year.
The report examines:
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HOS and CAHPS strategy
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Harder-to-engage Medicare Advantage members
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Earlier clinical information
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Member barriers including access, transportation, confusion and trust
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Annual Notices of Change
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Annual wellness visits
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Next-best-action strategies
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Governance across Stars, quality and member engagement
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How plans can make limited resources go further
To request a copy, contact Nicole Roberts at nroberts@brightspotsventures.com.
About MedOrionMedOrion combines technology with hands-on expertise to help health plans improve Medicare Advantage, Stars, HEDIS and quality performance with limited resources.
Its approach helps plans determine where additional engagement can make a difference, where it may not be needed, and how to turn those decisions into action.
Learn more: https://medorion.com/
Connect With MedOrionTo explore how MedOrion can help your team prioritize engagement resources and build a more coordinated approach to Stars and quality performance, contact Nicole Roberts at nroberts@brightspotsventures.com to schedule a conversation with a senior MedOrion leader.
Panelist BiosAbout Bright Spots in Healthcare
Bright Spots in Healthcare brings together health plan, health system and healthcare innovation leaders to share practical examples of what is working — and how others can apply and scale those ideas.
Bright Spots Ventures creates healthcare content, executive communities, private peer discussions and go-to-market programs designed to accelerate meaningful change.
Learn more: https://www.brightspotsinhealthcare.com/
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