General

Star Ratings Impact of Medicare Advantage Members Use of Veterans Affairs Facilities

Improving Medicare Advantage Star Ratings by Documenting Veterans Care As 2019 is officially here, Medicare Advantage plans are continuing to look for opportunities to positively impact their Star Ratings. The Star Ratings are important for Medicare Advantage plans for a variety of reasons including Quality Bonus Payments and marketing rules. Many of the Star Ratings

Commemorating Veterans Day

Today, Sunday November 11th is Veterans Day. By way of a little history, while World War I officially ended with the Treaty of Versailles in June of 1919, active hostilities ceased on November 11th of 1918. In November of the following year, President Woodrow Wilson proclaimed a commemoration of the day as “Armistice Day.” In

Veteran Status: An Under-Recognized Social Determinant of Health in Medicare Advantage

A recurrent theme in the Managed Care Industry is the importance of understanding not just the member’s health status, but the broader factors impacting the member’s lifelong health and healthcare. A member’s “social determinants of health” are an increasing focus for managed care plans, as the MCOs recognize that socio-economic status and historical access to