IMAT Solutions Blog

26 Jul PODCAST: Enhancing Medicare Advantage Plan Growth and Reporting

Posted at 20:40h in Advancing Healthcare Through Data Podcasts, Medicare Advantage by DesignWorks 0 Comments

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In our latest Advancing Healthcare Through Data podcast series, Anthony Benitez, AVP of Sales for Payer Solutions at IMAT, discusses how IMAT Solutions can help enhance Medicare Advantage plan growth and reporting. [ai_playlist id="39111"] For Medicare Advantage plans, there have been a significant number of changes over the past several years. In addition to the SCAN Health lawsuit over the way CMS calculated the Medicare Advantage Star Ratings for 2024, there are also ongoing financial pressures from...

02 Feb CMS Reports Dramatic Increase in Medicare Shared Savings Program (MSSP) ACO Participation

Posted at 20:30h in ACOs, Medicare Advantage by DesignWorks 0 Comments

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Reinforces need for MSSP ACOs to prepare for the 2025 deadline for APP quality measures reporting The Center for Medicare and Medicaid Services (CMS) recently announced that there are a total of 480 Accountable Care Organizations (ACO) participating in the Medicare Shared Savings Program (MSSP), which is the largest number to date. Overall, this number includes 50 new ACOs, 71 renewing ACOs, as well as the 19 ACOs participating in the new payment option. In addition,...

25 Oct Medicare Advantage Star Ratings Declined Again for 2024

Posted at 09:12h in Medicare Advantage by DesignWorks 0 Comments

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Enhance Star Ratings with IMAT’s Data-as-a-Service (DaaS) Solution When it comes to Medicare Advantage (MA) Star Ratings, we may be seeing history repeating itself. This time last year, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which found an overall decline in ratings when compared to 2022. During this time, it was reported that 57 contracts earned five stars, which was down significantly from 74 the previous year. Ahead of Medicare open enrollment...

04 Oct Star Ratings Front-and-Center for Medicare Advantage Open Enrollment

Posted at 09:00h in Medicare Advantage by DesignWorks 0 Comments

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With the 2024 Medicare Advantage open enrollment commencing on October 15th, enhancing Star ratings for Medicare Advantage plans continues to be at the forefront. While most of the efforts to boost Star ratings happen prior to the open enrollment period, there are a number of considerations for making it a year-round priority. According to this recent article from McKinsey & Company, disruptions in demographics, regulations, and member preferences are making it challenging for payers to chart an...

16 Aug Medicare Advantage Quality Bonus Payments to Reach $12.8 Billion

Posted at 09:00h in Medicare Advantage by DesignWorks 0 Comments

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Reinforces Need for Data-Driven Solutions for Enhancing Star Ratings According to a recent detailed analysis from the Kaiser Family Foundation (KFF), Medicare Advantage bonus payments will reach at least $12.8 billion in 2023, which is an increase of nearly 30 percent from last year. In addition, total spending on Medicare Advantage plan bonuses has quadrupled since the program launched in 2015. In 2023, 26 million people, or 85 percent of Medicare Advantage enrollees, are in plans that...

30 May How to Address Medicare Advantage Care Quality Issues

Posted at 10:00h in Medicare Advantage by DesignWorks 0 Comments

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A new study has shed light on the importance of gathering more clinical data to evaluate the quality of care received by Medicare Advantage beneficiaries, particularly those with serious illnesses. In a recent article published in the New England Journal of Medicine, researchers highlighted the lack of available data concerning the quality of care and the utilization of supplemental benefits, which are commonly used by individuals with significant health conditions. The researchers also expressed reservations about the...

12 Apr Real-Time Monitoring of Medicare Advantage Star Ratings Throughout the Year

Posted at 09:00h in Medicare Advantage by DesignWorks 0 Comments

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Enhance Star Ratings Next Year and Boost Revenue with the IMAT Flexible Payer Solution Last fall, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which showed a marked decline in overall ratings from the previous year. With only 57 contracts earning five stars – down significantly from 74 the prior year – this was a major wakeup call for many Medicare Advantage plans. Shortly after the release of the 2023 Star Ratings, many payers...

09 Nov Medicare Advantage 2023 Star Ratings Impacting Payer Revenue

Posted at 20:15h in Medicare Advantage by DesignWorks 0 Comments

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Enhance Star Ratings Next Year and Boost Revenue with the IMAT DaaS Solution In October, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which showed a marked decline in overall ratings from last year. For many health payers, the decline in 2023 Star Ratings has a direct impact on revenue growth. During a number of their third quarter earnings calls, some of the largest health payers discussed how they are going to boost their...

19 Oct Medicare Advantage Star Ratings Declined for 2023

Posted at 09:00h in Medicare Advantage by DesignWorks 0 Comments

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Enhance Star Ratings with the IMAT Flexible Payer Solution With the goal of providing consumers a way to compare health plans, the Medicare Advantage Star Ratings measure the quality of health and drug services received by individuals enrolled in Medicare Advantage (MA) and Part D plans. Earlier this month, CMS released its 2023 Medicare Advantage and Part D Star Ratings, which found an overall decline in ratings when compared to 2022. In fact, 57 contracts earned five...