Closing Care Gaps: The Path to Superior Star Ratings

This infographic examines how care coordination gaps affect health plan quality metrics and Star Ratings, offering solutions to enhance performance.

Healthcare quality gaps cost Medicare Advantage plans billions annually, with nearly 20% of Medicare members readmitted within 30 days. These inefficiencies impact the bottom line and Star Ratings, with 2024 seeing a drop in five-star plans. As health plans navigate weighted quality measures like Transitions of Care (TRC) and Follow-up after Emergency Department Visit (FMC), coordinated care is critical.

This infographic shows how real-time data solutions can reduce avoidable readmissions by 50% or more while improving quality scores that drive reimbursement and member satisfaction. Discover strategic approaches leading health plans use to close care gaps and enhance performance across key HEDIS measures.

• How timing windows for TRC measures impact Star Ratings
• The triple-weighted quality measures CMS prioritizes after the first year
• Proven strategies for integrating clinical data across acute and post-acute settings

Offered Free by: Healthcare Dive’s studioID and PointClickCare