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Snezana Mahon, PharmD, Explains the Benefits of High Star Ratings
Of the many benefits that come from achieving a 4-star CMS rating or better, retention and growth are probably the biggest ones, according to Snezana Mahon, PharmD, senior director Medicare solutions at Express Scripts.
Of the many benefits that come from achieving a 4-star CMS rating or better, retention and growth are probably the biggest ones, according to Snezana Mahon, PharmD, senior director Medicare solutions at Express Scripts.
A majority of Medicare beneficiaries not only tend to find themselves in those plans that receive 4, 4-and-a-half, or 5 stars, but they can enroll in plans that receive 5 stars all year long, not just during open enrollment.
Achieving a high star rating helps plans “be known in the marketplace and the community as that high-performing quality plan that members are choosing year after year after year,” Dr Mahon said.
ACA Network Regulatory Filings Are Inaccurate, Poorly Match Provider Directories
September 16th 2025A secret shopper survey (N = 8306) in Pennsylvania’s Affordable Care Act (ACA) Marketplace found inconsistencies between carrier regulatory filings and provider directories, frequent inaccuracies in regulatory filings, and challenges in securing timely appointments.
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