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Correcting Three Misconceptions About The 2019 CMS Call Center Monitoring Study

Posted by Mike McMahon on January 23, 2019

Each year, the Centers for Medicare and Medicaid Services (CMS) conduct a Call Center Monitoring Study.

CMS performs the study between February and June by placing calls to Medicare Part C and D call centers to - among other thing - evaluate performance in assisting Limited English Proficient (LEP) and Deaf and Hard of Hearing callers.

A portion of the study measures the availability of an interpreter, as well as the accuracy of information provided by the customer-service agent. This portion is called the Accuracy and Accessibility Study.

There are massive financial and marketing implications to the CMS study, as plans earning four and five stars stand to net additional dollars in Quality Bonus Payments, as well as valuable opportunities to shop their plans. (Five-star plans are afforded the opportunity to enroll members throughout the year.)

Given these high stakes, it’s only natural that misconceptions would emerge as plans aim for the highest score possible.

Below are three misconceptions that we hear most often. We’ve researched each of these suppositions and are glad to explain the reality behind each of them.

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The Financial Impact of the CMS Study is Huge. Is Your Call Center Ready?

Posted by Suzy duMont-Perez on January 21, 2019

A five-star rating could equal millions of dollars in bonus payments. We invite you to download our Guide to the 2019 CMS Call Center Monitoring Study to better understand CMS requirements and their impact on your organization.

The 2019 Call Center Monitoring Study, which is conducted by the Centers for Medicare and Medicaid Services (CMS), will launch in a few weeks. The impact of this process is profound.  Is your call center ready?

CMS carries out this study every year beginning in February. The study impacts quality ratings for Medicare Part C and D plans.

Based on their assessment and other factors, contact centers will be awarded a rating of 1 to 5 stars. This rating has a direct impact on how much money plans are reimbursed by Medicare and impacts a plan’s ability to attract and retain members.

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Millions of Dollars Are On the Line. Is Your Organization Doing All It Can to Secure Five Stars?

Posted by Suzy duMont-Perez on February 13, 2018

Each year, the Centers for Medicare and Medicaid Services (CMS) publish quality ratings for Medicare Part C and D plans. Plans are given a rating between 1 and 5 stars, with Quality Bonus Payments (QBPs) going to plans earning 4 or 5 stars. According to one study, these QBPs can amount to an extra 5% per member annually.

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