The Medical Loss Ratio (MLR) rule plays an integral part in the profitability of Medicare Advantage (MA) plans. It requires MA plans to spend at least 85 percent of their revenue on health care services, covered benefits, and quality improvement efforts. With...
29
August2017
07
August2017
How engagement impacts member satisfaction—and boosts CAHPS and HOS scores
Novu Health
07 August 2017
CAHPS and HOS scores make up fully 25-26% of your plan’s Star rating from CMS. Yet influencing these scores—and consumer satisfaction in general—can be challenging, in large part because they are based on individual consumer perception. So how can health...
03
August2017
HEDIS results were submitted in June, which means, by now, your health plan may have had a moment of truth. You know your 2016 scores—or at least have a directional understanding of what they’ll be.