Quality in the Healthcare Marketplace: Becoming a Rising ‘Star’
- VOLUME XIV, ISSUE 14
- Executive Insights
One federal strategy to improve healthcare is to strengthen the link between patient care outcomes and reimbursement levels. To that end, the Centers for Medicare & Medicaid Services (CMS) has established its 5-Star Quality Rating System, which provides Medicare Advantage (MA) plans with quality rating metrics and associated bonus payment criteria. MA plans can capture significant incremental revenue by meeting certain thresholds through CMS’ star rating system.
L.E.K. Consulting has outlined its approach to becoming a rising “star” in a report to help health plans capture added performance incentives while helping to improve healthcare delivery. The report includes: