Part Two of this blog series delves deeper into how health plans can successfully maintain or elevate their CMS Star Ratings while ensuring compliance with the CMS renamed ruling.
Author Archive: Lauren Barca, VP of Quality
Medicare Advantage in 2025: How to Handle CMS Changes, High Utilization, and SDOH Shifts
Medicare Advantage plans are under mounting pressure to deliver both quality care and measurable performance amid rising member utilization and sweeping changes to Star Ratings. Lauren Barca shares her insights on adaptability, stability, and financial success during a year of rapid change in this new HIMSS TV interview.
CMS Rebrands HEI to EHO4all: Breaking Down the Benefits for Health Plans Part One
Explore how the updated CMS Health Equity Index, now called EHO4all, helps health plans close care gaps and deliver excellent health outcomes. Learn how experts from 86Borders turn this policy shift into real, measurable impact.
2025 Medicare, Medicaid, Duals & Commercial Markets Forum
March 25-27, 2025
AHIP 2025
June 17-19, 2025
RISE Star Ratings Master Class
December 16-18, 2025
CMS 2024 Final Rule: Recap Health Payer Specialist Article to Achieve Success Under Health Equity
Lauren Barca shares valuable steps to take now in her recent Health Payer Specialist article about CMS’s Health Equity Index.
Providers, Plans, and Patients – The True Cost of Unclosed Care Gaps
The significant cost of unclosed care gaps leads to costly and severe health consequences for payers, providers, and patients. Improved outcomes and closed gaps require personalized and preventative care strategies.
From Barriers to Solutions: Transformative Member Engagement on PopHealth Week Podcast
Achieving successful population health management demands a collaborative and individualized approach, necessitating health plans to effectively address members’ social determinants of health (SDOH) concerns.
Health Plan Member Engagement and CAHPS Elevated to a Year-Round Priority
A continuous, year-round approach to member engagement is crucial for the success of health plans, unlocking the full benefits of quality measures.