5 Star Program
Your 5-STAR ratings are critical to your ability to thrive in the new world of healthcare. Typical fee-for-value programs provide escalating bonuses for 4 & 5-STAR programs, while 1 & 2 -STAR programs are penalized. A 5-STAR rating puts you in the top 20% of providers. It also allows year-round patient enrollment instead of the typical 5-week enrollment. A 3-STAR rating means your services are average. A 2-STAR rating means your services are 20% below average.
CMS created the 5-STAR healthcare quality rating program to help patients understand the providers' quality of care. 5-Star rating are not available just for primary care. They are also available for nursing home, hospitals, & other providers.
Besides rating your care, they are known for nursing homes, hospitals, & other providers. There are dozens of components of the 5-STAR programs. Most of the items measure clinical quality (HEDIS), patient/consumer experience (CAHPS), & health outcomes (HOS).
Your 5-Star ratings are too important to your income (& your patients’ health) to do it wrong.
And it’s complicated. Don’t try this alone.
We’ve got decades of experience running 5-Star programs for hundreds of thousands of covered lives.
Medicare Advantage programs continue to show better scores than traditional Medicare in quality, patient experience, & outcome results
1.Timbie JW, Bogart A, Damberg CL, Elliott MN, Haas A, Gaillot SJ, Goldstein EH, Paddock SM. Medicare Advantage and Fee-for-Service Performance on Clinical Quality and Patient Experience Measures: Comparisons from Three Large States. Health Serv Res. 2017 Dec;52(6):2038-2060. doi: 10.1111/1475-6773.12787. PMID: 29130269; PMCID: PMC5682140https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682140/
2. King, R. Medicare Advantage plans achieve better outcomes than traditional Medicare, BMA analysis finds. Fierce Healthcare Dec, 2020.
3. Ayanian, J. Z. , Landon B. E., Zaslavsky A. M., Saunders R. C., Pawlson L. G., and Newhouse J. P.. 2013. "Medicare Beneficiaries More Likely to Receive Appropriate Ambulatory Services in HMOs Than in Traditional Medicare." Health Affairs (Millwood) 32 (7): 1228–35.
4. Elliott, M. N. , Landon B. E., Zaslavsky A. M., Edwards C., Orr N., Beckett M. K., Mallett J., and Cleary P. D.. 2016. "Medicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts." Health Affairs (Millwood) 35 (3): 456–63.
5. Gold, M. , and Casillas G.. 2014. "What Do We Know about Health Care Access and Quality in Medicare Advantage Versus the Traditional Medicare Program?" https://www.kff.org/medicare/report/what-do-we-know-about-health-care-access-and-quality-in-medicare-advantage-versus-the-traditional-medicare-program/
6. Keenan, P. S. , Elliott M. N., Cleary P. D., Zaslavsky A. M., and Landon B. E.. 2009. "Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care."
7. Landon, B. E. , Zaslavsky A. M., Bernard S. L., Cioffi M. J., and Cleary P. D.. 2004. "Comparison of Performance of Traditional Medicare vs Medicare Managed Care." Journal of the American Medical Association 291 (14): 1744–52.
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Call us at 859-721-1414 or email us. Your patients deserve it. Your family deserves it. You deserve it!