What do wellcare brokers/agents have control over regarding Star Ratings for quality?

Wellcare brokers and agents have control over various aspects that can influence Star Ratings, which are essential in assessing the quality of care and customer satisfaction in healthcare.

Member Satisfaction/Experience is directly related to the interactions that brokers and agents have with members. They can significantly impact a member's perception of the plan by effectively addressing their needs, providing valuable information, and assisting in resolving issues, which all contribute to overall satisfaction scores.

Complaints are another area where brokers and agents can exert influence. By proactively addressing concerns and complaints from members, they can help to reduce the number of grievances filed. Fewer complaints typically lead to higher Star Ratings, as these ratings take into consideration member experiences and reported issues.

Rapid Disenrollment is tied to the decisions made by members to leave a plan quickly after enrollment, which often reflects their dissatisfaction. Brokers and agents can play a crucial role in ensuring that members understand their benefits and options thoroughly, which can ultimately lead to improved retention rates and lower rates of disenrollment.

Thus, brokers and agents have control over all these dimensions—Member Satisfaction/Experience, Complaints, and Rapid Disenrollment—enabling them to positively influence Star Ratings for quality. Their involvement in both interpersonal member relations and the management of member experiences