{"id":20706,"date":"2022-11-09T20:15:06","date_gmt":"2022-11-09T20:15:06","guid":{"rendered":"https:\/\/imatsolutions.com\/\/?p=20706"},"modified":"2025-11-03T17:50:02","modified_gmt":"2025-11-03T17:50:02","slug":"medicare-advantage-2023-star-ratings-impacting-payer-revenue","status":"publish","type":"post","link":"https:\/\/imatsolutions.com\/index.php\/2022\/11\/medicare-advantage-2023-star-ratings-impacting-payer-revenue\/","title":{"rendered":"Medicare Advantage 2023 Star Ratings Impacting Payer Revenue"},"content":{"rendered":"<p><strong><em>Enhance Star Ratings Next Year and Boost Revenue with the IMAT DaaS Solution<\/em><\/strong><\/p>\n<p>In October, <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/2023-medicare-advantage-and-part-d-star-ratings\" target=\"_blank\" rel=\"noopener\">CMS released<\/a> its 2023 Medicare Advantage and Part D Star Ratings, which showed a <a href=\"https:\/\/imatsolutions.com\/\/index.php\/2022\/10\/medicare-advantage-star-ratings-declined-for-2023\/\">marked decline<\/a> in overall ratings from last year.<\/p>\n<p>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 <a href=\"https:\/\/www.beckerspayer.com\/payer\/touting-growth-sweating-star-ratings-what-payer-ceos-said-about-medicare-advantage.html\">discussed<\/a> how they are going to boost their ratings for next year.<\/p>\n<p>Several payers highlighted how they are tracking internal improvements, and ensuring that they have the right systems in place for next year &#8212; with some proactively addressing Stars ratings improvements in real-time. One large payer is <a href=\"https:\/\/www.beckerspayer.com\/payer\/cvs-expecting-2b-revenue-hit-from-star-ratings-decline-loss-of-centene-pharmacy-contract.html\" target=\"_blank\" rel=\"noopener\">planning on improving<\/a> internal operational efficiencies for achieving a better rating.<\/p>\n<p>One of the core ways to enhance Stars ratings is to gain optimal results from clinical data. The <a href=\"https:\/\/imatsolutions.com\/\/index.php\/imat-daas-platform\/\">IMAT Flexible Payer Solution<\/a> allows health payers to do this, while also <a href=\"https:\/\/imatsolutions.com\/\/index.php\/2022\/09\/health-payers-can-enhance-revenue-with-imat-daas-platform\/\">boosting revenue<\/a>, enhancing member care and <a href=\"https:\/\/imatsolutions.com\/\/index.php\/2022\/10\/imat-daas-platform-helping-payers-make-data-compliance-a-strategic-imperative\/\">achieving compliance<\/a>.<\/p>\n<p>The IMAT Flexible Payer Solution essentially helps payers to improve overall HEDIS reporting capabilities and STAR ratings because of its Validated Data Stream designation in the new NCQA Data Aggregator Validation (DAV) program.<\/p>\n<p>The IMAT Flexible Payer Solution ingests the clinical data obtained from Provider EMRs on a real-time basis and prepares the data for validation by NCQA, so that it can be used as standard supplemental data in HEDIS reporting. This eliminates the need for primary source verification (PSV) and the HEDIS audit process. This also saves time and money for aggregators, provider organizations and health plans.<\/p>\n<p>Finally, Clinical Data Integration (CDI) is the foundation for the IMAT Flexible Payer Solution. IMAT Solutions was recently highlighted as a CDI vendor in Gartner\u2019s \u201cClinical Data Integration Capabilities and Sourcing Recommendations for U.S. Healthcare Payers\u201d <a href=\"https:\/\/imatsolutions.com\/\/index.php\/articles\/news\/imat-named-in-gartner-clinical-data-integration-capabilities-and-sourcing-recs\/\">report<\/a>.<\/p>\n<p><strong>Now\u2019s the time for health payers to consider implementing new data-driven solutions that can help increase member satisfaction, and enhance next year\u2019s Star ratings. Please <a href=\"https:\/\/imatsolutions.com\/\/index.php\/contact\/\">contact us<\/a> to learn more about the IMAT Flexible Payer Solution for health payers.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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&#8230;<\/p>\n","protected":false},"author":8,"featured_media":20708,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[267],"tags":[],"class_list":["post-20706","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicare-advantage"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Medicare Advantage 2023 Star Ratings Impacting Payer Revenue - IMAT Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/imatsolutions.com\/index.php\/2022\/11\/medicare-advantage-2023-star-ratings-impacting-payer-revenue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medicare Advantage 2023 Star Ratings Impacting Payer Revenue - IMAT Solutions\" \/>\n<meta property=\"og:description\" content=\"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. 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