Priorities for Excellent Health Outcomes for All Program

This document is a guide that outlines six priorities for health plans to address the Excellent Health Outcomes for All (EHO4all) Reward Program, which is set to replace the Reward Factor in the 2027 Star Ratings. The guide emphasizes the importance of understanding social determinants and social drivers of health in improving care for members with social risk factors. It details the need for health plans to analyze CMS data to identify performance gaps, manage data effectively to understand member demographics, and incorporate whole-person care strategies. Additionally, it highlights the significance of establishing community partnerships and engaging stakeholders in health equity initiatives. The guide concludes by recommending the development of value-based care contracts and updating workplans to ensure alignment with EHO4all objectives. Overall, the document serves as a resource for health plans to navigate the complexities of implementing the EHO4all program while striving for improved health outcomes.