Centene Medicare Advantage Star Ratings

Centene's 2023 Medicare Advantage Star Ratings are out now and immediate action is required to update your sales enrollment kits.

Immediate Action Required:

• 2022 CMS Star Rating documents within your existing inventory of sales enrollment kits MUST be replaced with the 2023 CMS Star Ratings documents, no later than November 1, 2022.
• Be sure to dispose of any outdated 2022 CMS Star Rating documents.

CMS Star Rating Measures:

Each year, the Centers for Medicare & Medicaid Services (CMS) uses a Stars Rating system to measure the performance of all Medicare Advantage Part C and Part D Prescription Drug Plans to determine if they provide high-quality care for their members.

These quality scores include several factors, such as the clinical care members receive, their service experience, and member feedback gathered annually detailing how well plans did in various categories. Using a one to five Star Rating system, CMS evaluates nearly 40 quality and performance measures.

Centene oversees CMS Star measures and performance within five chapters:

• Admin/Ops (service quality)
• CAHPS (member satisfaction)
• HEDIS (clinical services)
• HOS (Health Outcomes Survey)
• Pharmacy (taking prescribed medications)

Achieving positive quality ratings is vital. These ratings are crucial to Centene's members, brokers, and partners, and to their overall growth at Wellcare. With CMS' increased focus on patient experience and access to care, Centene must continue to put their members first and empower them to partner with their providers to make good healthcare decisions.

Have questions? Call us today at 866-568-9649!