Conduct Lessons Learned from Medical Record Review Season Activities
At this point in the year, we are also approaching the mid-way point for SY2026 and this year becomes more critical as member experience weighting shifts from a 4x to a 2x. Plans must ensure that they are organized, have their strategy in place and keep a pulse check on major changes from the last Star Year.
What should you be doing right now
There’s no time like the present: Every day is critical in Stars. Whether it is integrating and aligning data sources, planning and implementing new interventions or developing robust strategies to address gaps from the prior year – start acting today.
Buy-in and commitment are enhanced: Ensure that you have complete buy-in from leadership and commitment to put Stars as a priority. Stars cannot be done off the side of the desk; you must continuously refine your strategy to meet the organization’s goals.
Spotlight on training and education: The Stars program is constantly undergoing changes. It’s important to allocate time to educate your organization on the broad implications Stars has across all areas of business.
Having a year-round CAHPS strategy to consistently focus on member experience and engagement is essential. It’s critical to utilize the feedback from the SY2025 CAHPS survey to inform additional strategies and improved messaging to members.
At ProspHire, we continue to partner with health plans, to offer insights, analyze and execute strategies to improve Star ratings. Do you need support developing the right SY2026 execution strategy? Let’s have a conversation.