Medicare Advantage Star Ratings: Embracing Health Equity and Digital Quality for 2027 and Beyond

Welcome back to The Healthcare STARcast! In today’s episode, host Subbu Ramalingam is joined by Dwight Pattison, founder and principal advisor of QP Advantage, for a deep dive into the evolving world of Medicare Advantage star ratings and healthcare quality. With the recent release of Star Ratings and a rapidly shifting landscape - including the sunsetting of bonus points, membership shifts, and the rise of “Excellent Health Outcomes for All” - there’s never been a more important time to understand what’s changing and how health plans can adapt.

Subbu Ramalingam and Dwight Pattison break down the new focus on social risk factors, demystifying the intricacies of the Health Equity Index and what it means for plans serving dual-eligible and low-income populations. They also tackle the move toward digital quality - what it really means, why it matters, and how both health plans and providers can prepare for a future where data flows seamlessly across the healthcare ecosystem.

Whether you’re an executive scrambling after star rating surprises, a frontline team adapting to new measurement strategies, or just curious about the data-driven future of healthcare, this episode is packed with practical insights, best practices, and strategies for thriving in 2027 and beyond.

Tune in as we move “beyond ratings toward excellence,” and discover what’s next for healthcare quality, equity, and digital transformation.

Timestamps:

00:00 "Healthcare Shifts: What's Next?"

06:03 Health Plans Face Ongoing Challenges

08:32 "Healthcare Plan Rating Adjustments"

11:49 "Health Equity Metrics Overview"

16:05 "Unequal Rewards in Member Plans"

18:49 Performance-Based Rewards for D SNP Plans

21:32 Performance Tracking and Intervention Plans

24:22 "LIS Factor Importance in Measures"

29:53 "Streamlined Digital Health Data Sharing"

31:05 "Uneven Data Flow Challenges"

36:45 "Data Roadmap for Better Outcomes"

37:49 Prioritize Clinical Data Collection

44:13 Simplifying Healthcare Data Exchange

45:10 "New Playbook for Future Success"

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/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”