Gartner Research

U.S. Healthcare Payer CIOs Boost Medicare Advantage Star Ratings Using Engagement Hubs and Insights

Published: 08 August 2018

ID: G00363535

Analyst(s): Bryan Cole, Jeff Cribbs


CEOs prioritize Medicare Advantage Star ratings as a major profit driver. Quality teams that attack single measures yield incremental gains, not perennial score increases. CIOs must deploy engagement hubs and clinical data integration to improve quality across all lines of business.

Table Of Contents


  • Medicare Advantage Star Ratings Are Critical to Financial Performance and Membership Growth
  • Increasing Benchmarks Challenge Medicare Advantage Payers in Stars and Other Quality Assessment Programs
  • Improve Stars Performance by Addressing Organizationwide Quality and Service Gaps Across Measurement Programs
  • Recommendations
    • Address the Root Business Process Causes of Quality, Member Service and Operational Gaps
    • Invest in a Core Clinical Data Integration (CDI) Capability
    • Implement Provider and Consumer Engagement Hubs
  • Drive IT-Enabled Performance Improvement

Gartner Recommended Reading

©2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates. This publication may not be reproduced or distributed in any form without Gartner’s prior written permission. It consists of the opinions of Gartner’s research organization, which should not be construed as statements of fact. While the information contained in this publication has been obtained from sources believed to be reliable, Gartner disclaims all warranties as to the accuracy, completeness or adequacy of such information. Although Gartner research may address legal and financial issues, Gartner does not provide legal or investment advice and its research should not be construed or used as such. Your access and use of this publication are governed by Gartner’s Usage Policy. Gartner prides itself on its reputation for independence and objectivity. Its research is produced independently by its research organization without input or influence from any third party. For further information, see Guiding Principles on Independence and Objectivity.

Already have a Gartner Account?

Become a client

Learn how to access this content as a Gartner client.