Alpharetta, GA – SPH Analytics, the top ranked member experience measurement firm in the health plan market, announced today that all 21 Medicare Advantage Prescription Drug (MA-PD) health plans receiving the highest 5 Star Rating in the 2021 Part C and D Star ratings are SPH clients, according to reports recently released by the Centers for Medicare and Medicaid Services (CMS).
Healthcare organizations, including 100% of the top 64 largest health plans in the nation, partner with SPH Analytics for consumer experience measurement, smart patient/member engagement, and powerful predictive analytics that empower them to take targeted actions to measurably improve member experience and engagement and deliver better care.
The Star Ratings are used by CMS to determine quality bonus payments for MA-PD plans. SPH is the leading provider of Medicare CAHPS and HOS surveys that measure consumer experience and access to care. CMS leverages this data annually to calculate experience and access measures that contribute to a plan’s Star Rating. CMS increased the weight of these measures from 1.5 to 2 for the 2021 Star Ratings. This weighting value will double again to 4 in 2023, meaning experience-related metrics will determine 57 percent of the overall Star Rating calculation.
“We salute the 2021 five Star plans, and we are honored to partner with each one of these plans who are clearly driving the strongest member satisfaction and engagement and the best access to care,” said Amy Amick, President and CEO of SPH Analytics. “Not only did thirteen of our clients maintain their top-of-the-line 5 Star Ratings from the previous year, eight additional plans improved from a 4.5 Star rating last year to the 5 Star pinnacle this year. It’s a remarkable accomplishment in the most challenging year imaginable. We offer our appreciation and congratulations to these health plan clients on a job well done.”
About SPH Analytics
SPH Analytics (SPH), a leader in healthcare analytics and population health management, empowers clients to analyze and interpret their clinical, financial, and consumer experience data to maximize their performance. SPH’s Population Care™, Population Value™, and Population Engage™ solutions are built on the innovative Nexus™ Platform, providing insights and impact to integrated health networks, ACOs, hospitals, ambulatory care providers, physician groups, and health plans. SPH’s quality measure dashboards, financial risk measurement, healthcare survey and patient outreach solutions, and consulting services empower clients to meet the Triple Aim by improving population health, reducing overall cost of care, and improving the patient experience.
SPH Analytics is a recognized leader in the industry, earning accolades as a top ranked population health vendor by KLAS, ranked the number one analytics firm out of the top 50 disruptive health IT companies by Black Book Research, and ranked number one in MACRA and MIPS Support Technology for Value-Based Care by Black Book Research. SPH Analytics has been providing insights to clients for more than 35 years and serves clients in all 50 states.
Corporate headquarters are in metro Atlanta. SPH Analytics is a portfolio company of the $3 billion STG Partners. For more information, call 1-866-460-5681 or visit SPHAnalytics.com.