HEDIS (Healthcare Effectiveness Data and Information Set) measures are designed to track health plan performance and improvement across several key domains. This includes preventive care, chronic condition management (for physical and mental health), access and availability of care, patient experience,…
About 78 percent of Medicare Advantage members enrolled in plans with 4 or more stars in 2020. This is up from 72 percent in 2019. Plans that fell below 4 stars took a financial hit from decreased enrollment. They also…
Managing chronic pain with Member Advocacy For many members, managing chronic pain can be a long and frustrating journey. Under a Member Advocacy model, health plans are better able to address their needs using technology. To see how a Member…
In the past year, more than one-third of seniors forgot to take their daily medication. And more than a quarter missed a doctor’s appointment. So how can your health plan reach senior members and help them stay on the right…
Executive summary Challenges to effective care transitions Being discharged from the hospital comes with many challenges. From remembering medications to sticking to your doctor’s instructions. And managing multiple conditions during this time can be overwhelming. Care transitions are essential to…
Managing diabetes alone can be difficult. So we asked members what they need from their health plans to be more successful.