In this episode, we are joined by Andrew Borgschulte, Principal Product Marketing Manager at Surescripts, to discuss CMS star ratings and HEDIS scores and why these measures are so meaningful. Tune in ...
Health plans can no longer afford to rely on retrospective tools or delayed claims data. CMS is introducing more time-critical quality measures into Star Ratings to accelerate intervention velocity, ...
Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some ...
Quality metrics for screening tests must evolve to mandate diagnostic resolution, ensuring financial and clinical incentives ...
In healthcare, quality reporting is often treated like a tax: Inevitable, complex and disconnected from frontline care. But what if it could be something else entirely? For decades, frameworks like ...
WILMINGTON, Del., July 31, 2025 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (CLOV) (“Clover Health”), a physician enablement company bringing access to great healthcare to everyone on ...
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