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Current Trends For PayersAuthor: Sponsored by HealthEdge
Insider insights and perspectives on trending topics for healthcare professionals. Were talking to the experts about the unique operating infrastructure necessary for business success and to improve the quality of care for members. Topics include operating models, technology infrastructure, data security, operations, core administration, care management, member engagement, risk adjustment, HEDIS and Star quality measures, start-up and growth tactics, and regulatory and compliance. Language: en-us Genres: Government Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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2027 Star Ratings Report
Episode 1
Friday, 16 October, 2026
The 2027 Star Ratings are out, and the headline numbers tell only part of the story. For Medicare Advantage plans, this year’s results raise important questions about performance, financial exposure, and how to prepare for a changing quality program. What do shifts across rating tiers reveal that an industry average might miss? How should plans interpret a rating when the thresholds themselves change?This annual report examines the latest results, the significance of moving cut points, and the measure changes shaping future ratings. It also explores how the timing and reliability of information can influence a plan’s ability to respond. With quality bonus payments and operational priorities at stake, understanding the results requires more than reading a scorecard. Listen now to discover what deserves closer attention—and what these results could mean for your quality strategy.About Our Guest: Bettina Vanover is Senior Director of Regulatory Compliance at HealthEdge, where she built and leads the Regulatory Strategy Office, guiding regulatory strategy across the company’s product portfolio. She brings more than 20 years of healthcare experience supporting payer operations, compliance, and regulatory strategy across Medicare Advantage, Medicaid, and commercial markets. Certified in Healthcare Compliance and as an Information Privacy Professional/US, Bettina translates complex regulatory requirements into practical operational strategies.
