Enhancing Star Ratings for Health Plans

This document is a guide that outlines strategies for improving Star Ratings in health plans, specifically focusing on the Centers for Medicare & Medicaid Services (CMS) Stars Program. It details the financial implications of Star Ratings, emphasizing that a higher rating can lead to significant bonuses for health plans. The guide presents recent trends indicating a decline in high Star Ratings and the urgency for health plans to enhance their performance. It explains changes in the Star Ratings methodology, including the introduction of the Health Equity Index (HEI), which assesses health plans' effectiveness in serving diverse populations. The document also describes various service offerings from FTI Consulting, including assessments, predictive analysis, and strategic enhancements aimed at improving Star Ratings. These services are designed to help health plans navigate the complexities of the Stars program and implement actionable strategies for quality improvement.