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In our last blog post, we began to discuss how MAPD plans, amid so much market uncertainty, have the potential to not just control but improve their Star Ratings. Here, we build on that blog to discuss identifying the right members to reach and refining intervention methods to meet those members’ individual needs.
MAPD plan leaders face a series of growing challenges, ranging from rising cut points to evolving CMS rules to intensifying spending pressures. One of the biggest challenges, however, is within a plan’s control: CMS Star Ratings.
At the end of January 2019, CMS released notice of impending changes to the methodology of Medicare Advantage (MA) “Capitation Rates and Part D Payment Policies.” There are a few primary changes that MA Part D (MAPD) plans will want to know about. Here’s the summary, and we’ve added some notes for places RxAnte can help.