Quality Metrics & Performance
Expert articles and analysis related to quality metrics & performance.
AI Summary — Last 24 Hours
Medicare Advantage quality/payment risk is front-and-center as Clover’s Star Ratings lawsuit remains in Georgia federal court with bid deadlines approaching, keeping pressure on CMS’s Stars methodology and plan revenue assumptions for 2026 bids (Becker’s). At the same time, Part D medication adherence gains appear to be plateauing after a decade of improvement, raising near-term concerns for MA-PD Stars performance, pharmacy quality strategies, and downstream VBC contracts tied to chronic disease control ([Specialty Pharmacy Continuum](https://news.google.com/rss/articles/CB
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