SPH Blog
Listening, Analyzing, and Motivating to Improve Healthcare Consumer Experience and Engagement
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6 Things to Know About CMS’ 2023 Medicare Advantage Final Rule
Read about upcoming changes from CMS’ 2023 Medicare Advantage (MA) final rule. By Kaycee Glavich, […]
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What Makes the 4.5- and 5-Star Rated High Performing Plans Different?
Every health plan wants to perform well for its members, of course, but it’s just a select crop of plans that can prove it with 4.5- or 5-Star Ratings from CMS and NCQA.
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Star Ratings: The Drive to 5
A Focus on Member Experience Can Get Your Plan That 5th Star. With healthcare trends shifting as the coronavirus pandemic continues its evolution, there’s one issue in […]
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The 3 Main Steps to Great Patient Experience: Outreach, Engagement, and Satisfaction
Sometimes when seeking the optimum healthcare experience for your patients and members, it may feel like, “You can’t get there from here.” But there are three […]
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AHRQ Responds to Pandemic Telehealth Surge with New CAHPS Survey
In November, the Agency for Healthcare Research and Quality (AHRQ) released a new version of the Clinician and Group CAHPS Survey (CG CAHPS) in response to the large-scale adoption of telehealth...
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Updates from Member Experience CAHPS Vendor Training
Fall is the season when survey vendors attend vendor training sessions for HEDIS CAHPS, the QHP Enrollee Survey, and the MA & PDP CAHPS survey. SPH would like to share with you the program updates...
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Health Plan Quality Improvement Planning Checklist
While the global pandemic has undoubtedly challenged many QI intiatives this year, health plans must ensure they are ready to meet the ongoing challenges in 2021. Now is the time to plan...
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‘Tis The (Flu) Season
“I opened the door and influenza.” Okay, that’s a terrible pun, but an amusing way to welcome a very un-amusing time of year: flu season. Flu […]
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Planning for Q4 in a Year Like No Other
There’s no telling how the year 2020 will size up as a benchmark for future […]
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CMS Announces New Timeline for HOS Fielding in 2021
CMS has just announced that fielding for Health Outcomes Surveys (HOS) will take place only from August through November, replacing the previous April through July timeline.
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QHP Enrollee Survey: Proposed 2021 Survey Tool Updates to Address Telehealth
CMS recently posted proposed updates to the QHP Enrollee Survey. This survey is required for health plan issuers operating as Qualified Health Plans on the Marketplace.
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Elevating Patient Experience
Hearing and Valuing the Voice of the Patient Person-centered care and the voice of the consumer have become increasingly vital measures of quality in the health care delivery system.
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Getting Regular-Care Patients Back on Schedule: Make it a “Grand Re-Opening”
Talking “care gaps” while everyone is talking “coronavirus” is a bit like talking to a brick wall. So is “preventive care,” “non-critical regular screenings,” and other […]
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COVID-19 Regulatory Updates that Impact Health Plan CAHPS Surveys
Here at SPH Analytics we’ve been busy interpreting and addressing all of the fast and furious regulatory updates that have come from NCQA and CMS these past few days.
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The Human Connection of Patient/Member Experience in the Age of COVID-19
Like many of our health plan and delivery-of-care partners, here at SPH Analytics we’ve been adapting to a crisis that calls on us to approach each day with an open mind...
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7 Big Potential Impacts to CAHPS and HOS via the MA & PDP Star Ratings
CMS recently released two substantive pieces of rulemaking. Both Part II of the Advance Notice of Methodological Changes for Calendar Year 2021 and the Contract Year 2021 and 2022 Medicare Advantage..
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Taking the Temperature of Your Patient Safety
Errors, accidents, injuries, infections, and even death – certainly nothing you would ever want to experience at any healthcare facility – yet, they happen. Hospitals, compounded by the […]
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Analysis of Payer Relationships as Key Driver of Physician Burnout
SPH Analytics recently partnered with our client UPMC Health Plan to conduct research into physician satisfaction with health plans. The research uncovered several physician and payer […]
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Celebrating 100+ Years of the Venn Diagram (and one more anniversary, too!)
It may not look like a centenarian, but it is! Birthday greetings to the “Venn Diagram.” The popular assembly of overlapping shapes […]
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Morpace Health Joins SPH Analytics – Good News for Health Plans
In this long and winding, if increasingly well-traveled, road toward value-based care, few things resonate more than an increasing share of the population actively engaged in […]
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