Lance talks about Medicare STAR Ratings on the #HealthCast and gleans from his experience with success and failure within the 4 STAR threshold. He also provides advice to health plans that didn't hit their mark for STARs and the importance of maintaining a strong culture and remembering that your teams busted their arses on HEDIS, CAHPS, HOS, Supplements Data, and Audit.

1.) Be direct with your leadership team if changes in personnel are forthcoming but do NOT publicly scapegoat your staff.

2.) Bring in consultants that have actually managed healthcare operations and understand the technical specificity for STAR Measures. There are many brilliant Harvard/Yale consultant with 160 IQ's but limited healthcare knowledge.

3.) Focus on member experience. Drill down to the zip code level. Understand your base and what makes them tick. What type of media do they respond to. What social determinants of health programs are relevant to them?