Category: STAR Measures

CMS Advance Call Letter, Impact on MTM Program Submission

CMS recently released the 2018 Advance Call Letter for Medicare Part D Programs (https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Advance2018.pdf).  Submissions for the Medication Therapy Management (MTM) program are due May...

Trends in STAR Cut Points

In November CMS released it’s report – Trends in Part C & D STAR measure rating cut points (https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/Downloads/2017-Trends-in-Part-C-and-D-Star-Ratings-Cut-Points.pdf) . To be sure, this...

MTM Program Submission 2017

For Medicare Advantage and Part D plans it’s time to think about your Medication Therapy Management program design and submission.  While CMS is not...

Medication Related STAR Measures

Medication management (MM) is proving to be a viable tool for improving medication related quality metrics. More and more, managed care organizations are exploring...
James Notaro, founder of CSS Health

CMS Expectations of CMR Completion Rates

Thoughts on CMS’ Future Expectations of CMR Completion Rates for Medicare Part D Plans Comprehensive Medication Reviews (CMR) changed from a Display Measure to...