Stars digital guidebook

April 1, 2024

Your patients use Star ratings and other quality measures to make informed health care decisions, such as who to choose as their primary care provider and where they’ll receive elective non-emergency surgeries and procedures. Good performance on standard quality and patient experience measures can result in better Star ratings and more patients for your practice.

Our digital Stars Guidebook for Providers focuses on actionable information you and your staff can take to boost Star ratings. It also provides background and resources on key Star measures and domains. This easy-to-navigate resource is divided into the following areas:

  • Introduction to the Centers for Medicare & Medicaid Services Five-Star Quality Rating System.
  • Raising Star ratings through health conversations with your patients.
  • Clinical and claims data to improve coding accuracy and Star ratings.
  • Pharmacy measures as Star makers.
  • The value of patient follow-ups.
  • Provider group case study—best practices for success.
  • Closing Healthcare Effectiveness Data and Information Set (HEDIS®)* -based care gaps virtually.
  • Your front office staff and Stars.
  • How Stars are measured.
  • Cigna Healthcare support for moving the needle.
    • Patient-level information around open gaps in care.
    • Recent and upcoming changes to Star ratings.
  • FAQs and additional resources on the 360 Comprehensive Assessment, Current Procedural Terminology (CPT®) II codes, technical specifications and frailty/advanced illness exclusions for HEDIS measures, Consumer Assessment of Healthcare Providers and Systems (CAHPS®) measures, pharmacy measures, and the Health Outcomes Survey.

The digital version is available at > Provider Education > STARS Education > Stars Guidebook for Providers.

* HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

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