A breakdown of what the CMS Final Rule eliminated and which Star Ratings measures now determine your bonus revenue.
The New Stars Playbook: Back to Daily Behaviors
What the CMS Final Rule Means for Your Member Engagement Strategy
The April 2026 CMS Final Rule didn't just remove 11 measures from Star Ratings, it fundamentally changed the game. Years of optimization around the administrative measures are gone. What remains are clinical outcomes that depend on your members taking action. To impact Part D, HEDIS, HOS, and CAHPS, plans must now do something much harder: influence member behavior and drive engagement at scale. This session is a must-attend for health plan leaders rethinking their Star Ratings strategy in this new reality.
Three takeaways you'll get
Why the standard member engagement stack fails in a behavior-dependent Star Ratings environment.
Rethinking what a daily member engagement strategy looks like operationally for plans in the new era.
Jessica Muratore is the Founder and Senior Consultant of Muratore Advisory Services, a trusted healthcare advisor with deep expertise in regulatory strategy, quality improvement, and managed care. Through Muratore Advisory Services, she helps health plans, vendors, investors, and consulting firms navigate complex Medicare, Medicaid, Marketplace, and Commercial landscapes, translating regulatory challenges into actionable strategies.
Previously, Jessica led national quality market strategies across 38 health plans at MVP Health Care and Centene Corporation, driving compliance, operational efficiency, and performance optimization. She specializes in Medicare Star Ratings, Medicaid pay-for-performance programs, NCQA accreditation, and pharmacy strategy.
As a consultant, Jessica brings hands-on health plan experience, aligning industry best practices with business objectives to improve outcomes, strengthen compliance, and foster innovation.
Julie Smith is a health plan leader with a passion for improving healthcare outcomes and enhancing the delivery of services to individuals and communities.
Julie holds a Master’s Degree in Public Health (University of Minnesota) and a Bachelor’s degree in Nursing (South Dakota State University) with clinical experience in acute, post-acute, home & community based services, population health and innovation. She currently serves as the Chief Clinical Officer at Sanford Health Plan. In this position she oversees and works with care management, population health, medical economics, system integration, and clinical programs/innovation, focusing on overall clinical strategy and the intersection of enhanced clinical outcomes and cost-effective solutions.
Autri Chattopadhyay leads strategy at Wellth, a venture-backed digital health company founded in 2014 leveraging behavioral economics to drive improvements in adherence to care plans and better outcomes in underserved and high-risk patient populations.
Autri is also a Venture Partner at MBX Capital, a healthcare-focused VC investing in companies solving for the root causes of sickness.
Autri holds an MBA from Harvard Business School, a Master of Public Health from the Dartmouth Institute for Health Policy and Clinical Practice, and dual bachelor's degrees in Biology and History from Duke University.
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