This article is for the health care physicians, clinicians, and office staff caring for our Medicare Advantage members
We’re pleased to introduce the 2024 Medicare Advantage 5-Star Provider Playbook to support you and your office staff in caring for Medicare Advantage patients.
Download your 5-Star Provider Playbook
This resource guide is designed to provide you with actionable, evidence-based information, tips, and best practices to help you coordinate your patient’s care and improve health outcomes. The Playbook:
- Defines Star measures and who the measures affect
- Suggests CPT codes to use as applicable
- Provides recommended best practices to close gaps in care
- Describes patient experience surveys that CMS conducts annually with Medicare beneficiaries and recommends best practices to improve performance.
Achieving high Star ratings is a collaborative effort
We hope this Playbook serves as a resource to support your quality and patient experience improvement efforts. Working together, we can achieve a CMS 5-Star quality rating to give our members—and your patients—the value they deserve from their health plan.
When Star Ratings improve for our Medicare HMO and PPO plans, our members benefit by:
- Getting screening, tests, vaccines, and other preventive services for early detection of disease
- Better managing their chronic conditions
- Having an improved experience with their provider and health plan.
And when you participate in a health plan with a high star rating, it shows that you, too, have achieved high standards.
For more information
To learn more, visit our dedicated CMS Stars page or if you have questions about Blue Cross Blue Shield of Massachusetts and the Star Rating Program, please contact:
- Adam Licurse, Senior Medical Director, Population Health & Analytics, Health and Medical Management
Adam.licurse@bcbsma.com
- Heidi Parrilla, PhD, Associate Director, Medicare Stars
Heidi.parrilla@bcbsma.com
- Jason B. Ruda, MS, CPXP (Certified Patient Experience Professional), Associate Director, CAHPS Strategy and Improvement
Jason.ruda@bcbsma.com
Thank you for your ongoing efforts to improve quality
We value your partnership and look forward to continuing to work with you to improve the quality of our Medicare Advantage members’ health care and their overall experiences with the health care system.
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