Medicare Stars CAHPS Cut Point Analysis

With the final release of Star Year (SY) 2024 data coming in October, plans should expect a slow release of data to health plans in the period leading up to that date. One of the first big data releases included Members Choosing to Leave the Plan Part C and Part D measure data. CMS has also released information to plans to indicate that potential data errors occurred for some contracts and that an investigation into performance should be conducted.

The second data release contained the publishing of contract level CAHPS data in HPMS. This CAHPS data also includes cut points for each measure. The ProspHire Medicare Stars team reviewed and analyzed the movement from Star Year 2023 to Star Year 2024.

CMS will continue to release data to plans via HPMS: Plan Preview #1, Plan Preview #2 and the final public data release in early October. Health Plans should quickly review data as it is released to validate its accuracy. They also should utilize that data to better inform their contract’s overall SY24 projection. It would benefit Stars leaders to ensure that their senior leadership team is aware of projections in advance of the final release.

If you are not satisfied with your contracts Stars performance and require a refreshed approach to Stars performance improvement, the Medicare Stars team at ProspHire can partner with you to create a strategy moving forward and execute on your behalf. Connect with our experts today.