Creating a 5-Star Health Insurer



Each year, the Centers for Medicare & Medicaid Services (CMS) rates the quality of the previous year’s Medicare Advantage and Part D prescription drug programs through the Five Star Quality Rating System.



Billions of dollars in bonus payouts are available to the highest-rated plans, measured in areas such as member experience, complaints, customer service, and overall health / chronic care management. This white paper, “Creating a 5-Star Health Insurer,” presents a clear picture of the opportunity for Medicare plan providers. Renewed focus on the individual member results not only in a higher rating, but also in members who remain – and remain happy – throughout a long-term relationship. The white paper addresses issues such as:


The goals of the CMS rating system, and how they align with today’s consumer experience

How the service quality components of the rating system affect the entire score

The requirement for a holistic approach to the entire customer life cycle


Download the White Paper:

Please complete this form