With Addition of HEI to Stars, Clock Is Ticking for MAOs to Advance Health Equity
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Jul 06, 2023
So as not to penalize plans serving a large proportion of enrollees with social risk factors (SRFs) that impact care quality, CMS has previously taken steps to adjust for within-contract disparities in Star Ratings performance among Medicare Advantage and Part D contracts. But beginning in 2027, insurers will be rewarded for their efforts to assess SRFs and address disparities in certain quality measures with the new health equity index (HEI). MA and Part D sponsors must act now to assess disparities within their current performance and begin to pinpoint where their efforts can make the biggest impact in the two years of data leading up to the reward, according to industry experts who spoke at AHIP’s 2023 conference. Read more© 2024 MMIT
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