What are the benefits of Star Ratings?


The system helps consumers compare and select plans, and plays a key role in financing health care benefits for MA and MA Part D plan enrollees. Financial reimbursements for quality reward high performing plans that bring resources into our region. The resources are used for services for patients, provider quality incentive, and fee schedule enhancements.

The Star Rating System benefits both providers and patients by improving:

• Physician and patient relations

• Customer experience

• Patient satisfaction

• Relationship and collaboration with the health plan

• Increased awareness of patient safety issues

• Focus on preventive medicine and early disease detection

• Support for chronic condition management

How can you achieve excellence?

As a provider, you can have an effect on all aspects of the program – especially quality of care, access to care, and beneficiary satisfaction – by:

• Encouraging patients to obtain preventive screenings and pinpointing barriers to care

• Creating a workflow to identify noncompliant patients at appointments, and using McKesson Risk Manager™ to detect gaps in care

• Submitting complete and correct claims with appropriate codes; e.g., using ICD-10 codes to submit a BMI measurement

• Understanding each measure you influence and how your patients can become compliant

• Incorporating Health Outcomes Survey (HOS) questions into each visit by talking to patients about physical activity and fall prevention

• Reviewing the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey to determine opportunities for you or your office to have an impact; e.g., getting your patients in for appointments as quickly as possible