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When Star Ratings Backfire: How CMS Could Better Support Health In Medicare Advantage

The Healthcare Blog

In March 2023, both insurers were penalized after allegedly missing a single CMS secret shopper phone call , a call they claim was never received. How Quality Measurement Can Undermine Actual Quality The Star Ratings system aggregates over 40 metrics across preventive care, medication adherence, member experience, and customer service.

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Time For Medicare Advantage Leaders—Including Me—To Eat Our Own Cooking

Forbes Healthcare

I should have to live under the same benefit design, customer service, and network constraints as every other member. Here’s why it matters: - Operational Truth : You only truly understand the friction points—customer service delays, billing errors, prescription denials—if you live them yourself.

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Revenue Cycle Staffing Challenges: Tackling Staff Shortages and Burnout

Relias

A separate 2023 hospital poll indicated that 100% of executives agreed that staffing shortages have negatively impacted RCM rates. No Surprises Act, CMS rule updates) Customer service and patient communication 2. A recent survey found that 63% of providers report staffing gaps in their RCM departments.

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Prioritizing People: Elevating the Healthcare Payor Customer Experience

Walker Info - Patient Experience

In the 2023 U.S. The process uses customer preferences, problems, and complaints as insights to make improvements that impact the customer experience and business outcomes. This might be CAPHS surveys, recorded customer service calls, or employee feedback forms.

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CMS sets Medicare payment for AI-enabled ECG analysis, boosting Viz.ai’s HCM detection tool

Medical Economics

" The CPT codes were first introduced in 2023, but CMS had not assigned a national payment rate until now. Related Videos Related Content Advertisement July 28th 2025 Real-time context awareness: Enhancing customer service with AI June 30th 2025 Ep. Subscribe Now!

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Paralegals and legal assistants: Are they the same?

Mildred Elley

Legal assistants work on administrative tasks ensuring the office is running smoothly while performing customer service duties within a law office. Take the first step in your career journey today! What does a legal assistant do?

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Silent Ransom Group Targets U.S. Law Firms with Vishing Attacks

The HIPAA Journal

Since Spring 2023, the group has been consistently targeting U.S. The Silent Ransom group primarily gains access to victims networks through callback phishing campaigns that impersonate companies such as Duolingo and Masterclass, and others that offer subscription plans for their services.