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Uncertainty Ahead? Why MA Plans Must Stay Focused on Outcomes-Based Performance
The 2027 Final Rule remains the governing rule—and outcomes still matter For years, Medicare Advantage Star Ratings performance has been
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The 2027 Final Rule remains the governing rule—and outcomes still matter For years, Medicare Advantage Star Ratings performance has been
Blog
As CMS continues shifting Star Ratings and quality programs toward outcomes-based performance, medication safety has become an increasingly important area
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Medicare Advantage plans are under increasing pressure to improve member health and outcomes— and that pressure is only accelerating. With
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Artificial intelligence is rapidly moving from experimentation to early-stage adoption across the healthcare ecosystem. For Medicare Advantage plans in particular,
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For years, health plans have leaned on live calls as the primary way to engage members about medication adherence and
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CMS is accelerating its move from process-heavy Star measures to outcomes that reflect real improvements in member health. MA plans
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For plan year 2026, Medicare Advantage has experienced significant disruption as plan offerings have shrunk and enrollment shifts have accelerated.
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Improving quality outcomes isn’t about doing more outreach—it’s about doing the right outreach, in the right order, to the right person. Across medication
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Each year, we all like to pause and reflect—not just on where our industry has been, but on where it’s
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Medicare Advantage (MA) plans are feeling the ripple effects of a changing Star Ratings landscape. Fewer plans are earning 4-5
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According to Q2 2025 earnings data, Medicare Advantage (MA) is facing notable pressure. Between challenges such as the rollout of
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Following last week’s PQA Convenes panel discussion—where AdhereHealth CEO Kempton Presley joined industry leaders to explore “AI in Practice Today: