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CMS STAR Ratings

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Boost STAR ratings

Achieving and maintaining high CMS Star Ratings is critical for Medicare Advantage plans, impacting bonus payments, enrollment, and your reputation. ResultsCX delivers a proven, people-first approach that blends advanced automation, analytics, and deep healthcare expertise to help you boost scores, close care gaps, and deliver exceptional member experiences.

Why STARS matter

Star Ratings drive plan growth, revenue, and member trust. High scores unlock CMS bonuses and expand enrollment opportunities, while low scores can mean sanctions and lost market share. Every member interaction counts especially in areas like CAHPS, HEDIS, and complaints management.

ResultsCX CMS Taskforce Drives Multiple Health Plans to 5-Star Ratings Success

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Our approach to better STAR ratings

ResultsCX aligns every touchpoint to your STARS strategy, supporting both clinical quality and member experience:

  • CMS Center of Excellence: Dedicated teams focused on Star Ratings, compliance, and quality improvement
  • HEDIS & CAHPS Expertise: Targeted outreach, education, and support to improve preventive care, medication adherence, and satisfaction
  • Proactive Member Engagement: Persona-driven training and AI-powered analytics ensure every agent delivers empathy, clarity, and advocacy
  • Complaint & Grievance Management: Rapid, compliant resolution to minimize risk and protect your ratings
  • Continuous Improvement: Real-time insights, quality scoring, and adaptive training keep your plan ahead of regulatory changes

Proven results

54% reduction in member escalations and 13% increase in satisfaction for leading health plans.

Ready to elevate your STARS performance?

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