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Published Date: 2025-01-21

Boost Your CAHPS Scores and Your Patients' Health

Highmark Wholecare members will receive their Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys in early 2025. Your scores directly impact our National Committee for Quality Assurance (NCQA) accreditation, Medicare Advantage Star Ratings, and ultimately, quality of care. Higher scores mean better recognition for your practice and improved patient outcomes.

Here's how to improve your CAHPS results

Focus Areas - These are key areas where even small improvements make a big difference!
- Access to Care (Improve Timeliness): Patients value quick appointments and easy specialist referrals. Faster access leads to better health outcomes and increased patient satisfaction.
- Empathetic Communication (Enhance Patient Experience) - Active listening, clear explanations, and respect build trust. Positive interactions improve patient adherence to treatment plans and overall wellbeing. This is crucial for our Medicare D-SNP members who may require additional patience and personalized communication.
- Proactive Health (Promote Wellness) - Encourage preventive care, screenings, and address tobacco use. Preventive care reduces long-term health issues, improving patient health and lowering healthcare costs.
Actionable Tips
- Schedule Smart - Proactive appointment reminders and streamlined scheduling improve timeliness.
- Referral Efficiency - Implement a system for quick and efficient referrals to specialists.
- Team Training - Invest in communication skills and empathy training. Provide specialized training on the unique needs of D-SNP members.
- Technology Use - Leverage telehealth for convenient follow-ups.

By implementing these strategies, you'll improve your CAHPS scores, strengthen your practice's reputation, and most importantly, provide even better care for your patients. We'll continue to share useful tips and resources throughout the year to help you achieve even better results, so keep an eye on our upcoming Provider News emails and resources on our provider website. We'll share the 2025 results later in the year. Thank you for your partnership!