Welcome to another insightful episode of The Healthcare STARcast! In today’s discussion, our host Subbu Ramalingam sits down with industry veterans Mark S. Ryan and Neetu Rajpal to dive deep into the current state and future of Medicare Advantage STARS, data-driven success, and the evolving external forces shaping the healthcare landscape.

Coming fresh off recent developments, including the Plan Preview 2 cut point release, our guests examine the mounting pressures facing health plans, from inflation and utilization spikes to regulatory changes and technological innovation. Mark shares his extensive experience in both government and private health plans, while Neetu offers a tech-forward perspective on breaking down data silos and leveraging real-time analytics for improved member care.

Whether you’re a health plan leader, a provider, or simply intrigued by the changing dynamics of healthcare quality ratings, this episode is packed with practical strategies, thoughtful perspectives on AI adoption, and a candid look at how plans can use technology to close care gaps and stay ahead in the STARS game.

Tune in for a conversation that’s as optimistic as it is realistic, delivering actionable takeaways for the months ahead!

Timrstamps:

00:00 Healthcare STARcast: Stars & Medicaid Insights

04:12 Building a Unified Health Data System

08:28 Health Plans' Strategic Missteps

11:09 Improving Patient Care with Timely Data

15:37 "Assessing Progress and Future Uncertainty"

16:29 Maximizing Performance in Final Quarter

21:40 Comprehensive Analytics Platform Launch

22:45 Rapid Insights & AI in Healthcare

26:54 Drug Measures Impact Performance Score

29:36 Addressing Drug Measure Performance

34:01 Redefining Health Equity Strategy

38:35 Optimizing Care with Voice Agents

40:08 Cautious AI in Clinical Decisions

45:00 Flexible AI Governance Principles

46:37 "Heartfelt Gratitude"

Show Website - https://healthcarestarcast.com/

Subbu Ramalingam - Show Host - Linkedin - https://www.linkedin.com/in/subburamalingam/

FloWise Leadership - https://flowiseleadership.com/

ViVega Business Services - https://www.vivega.co/

ATTAC Consulting Group - https://www.attacconsulting.com/

Media Partner - TopHealth - https://tophealth.care/