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What the 2× Weight Drop Means for CAHPS and How to Stay Ahead

What the 2× Weight Drop Means for CAHPS and How to Stay Ahead

by Team ReferWell | Nov 18, 2025 | Blog

One of the most influential components of Star Ratings has been halved in weight but that doesn’t mean you should slow down. After years of CAHPS being weighted at 4×, the Centers for Medicare & Medicaid Services (CMS) announced in late 2024 that CAHPS measures...
The CMS TEAM Mandate: What Hospital Leaders Must Know to Be Ready for the 2026 Performance Year

The CMS TEAM Mandate: What Hospital Leaders Must Know to Be Ready for the 2026 Performance Year

by Team ReferWell | Nov 14, 2025 | Blog

Up to two-thirds of participating hospitals may lose revenue under TEAM, with 714 hospitals mandated to participate. For hospitals managing ~1,000 annual TEAM-eligible episodes, improvements in follow-up completion and care routing can translate into $7.5-20M+ in...
Streamlining Referral Management: How Real-Time Booking Transforms Provider Operations

Streamlining Referral Management: How Real-Time Booking Transforms Provider Operations

by Team ReferWell | Nov 12, 2025 | Blog

Explore how real-time slot visibility and automated scheduling can reduce referral leakage and enhance revenue for providers. Did you know that almost half of all specialist referrals never get completed?¹ When this happens, your patients are left without the care...
Turning Policy Change into Member Action: How MA Plans Can Lead in the New CMS Era

Turning Policy Change into Member Action: How MA Plans Can Lead in the New CMS Era

by Team ReferWell | Oct 28, 2025 | Blog

The Centers for Medicare & Medicaid Services (CMS) is ushering in a new phase of Medicare Advantage (MA), one that places stronger emphasis on data integrity, outcomes, value-based care, and genuine member engagement. In this environment, success hinges less on...
5 Ways Improving Care Access for Members Is a Force Multiplier for Engagement and Outcomes

5 Ways Improving Care Access for Members Is a Force Multiplier for Engagement and Outcomes

by Team ReferWell | Jun 13, 2025 | Blog

Access to care is one of the most critical factors influencing member health outcomes and satisfaction. When members struggle to navigate the healthcare system, it can lead to delayed treatment, unmet health needs, and poor overall experiences. Challenges such as...
CMS Cracks Down on Medicare Advantage Audits: $43 Billion in Estimated Overpayments Leads to Increased Oversight

CMS Cracks Down on Medicare Advantage Audits: $43 Billion in Estimated Overpayments Leads to Increased Oversight

by Team ReferWell | Jun 9, 2025 | Blog

CMS’s recent announcement to audit every Medicare Advantage (MA) plan annually marks a major shift in oversight, with a clear focus on ensuring that diagnoses, especially those identified during In Home Assessments (IHA), are fully supported by medical records and...
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