Medicare Stars Podcast
The Medicare Stars Best Practice Podcast will feature conversations with managed care leaders and staff on a variety of issues that influences performance and attainment of overall 5 Star Ratings.
- Indexed episodes, last 90 days
- 9
- Latest publication
- Sep 2, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 4, 2026
Latest episodes
Season 2 Ep5 | Why Health Plans Make Providers Performance Harder than it needs to be (opens the original)
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Why Health Plans Make Provider Performance Harder Than It Needs to Be Provider performance problems are often treated as engagement problems. But what if the bigger issue is friction? In this episode of The Execution Gap , I break down how unnecessary complexity inside health plan quality programs can slow provider action, reduce evidence yield, delay gap closure, and ultimately hurt performance. I cover five forms of provider friction: Information friction Communication friction Workflow fricti
Season 2 Ep4 | | Why Provider Incentives Don’t Always Change Performance (opens the original)
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When provider performance isn’t moving, the answer is not always a bigger incentive. In this episode, Peter Saah examines the contract economics behind provider quality and asks a more fundamental question: What does the contract actually make economically rational for the provider to do? The discussion covers accountability, attribution, controllability, thresholds, incentive transmission, timing, reconciliation, and the difference between financial motivation and operational capability. Peter
Season 2 Ep3 | Why Providers Stop Responding (opens the original)
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When a provider stops responding, we often call them “disengaged.” But what if disengagement isn't the problem? What if it's the symptom? In this episode, Peter Saah explores what may actually be happening underneath provider non-response—from data credibility and damaged payer-provider relationships to decision rights and broken feedback loops. The takeaway: before increasing outreach, diagnose what is preventing engagement in the first place.
Season 2 Ep2 | Stop Treating Every Provider the Same: Why Precision Provider Engagement Beats Mass Outreach (opens the original)
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Most health plans already segment providers. But here's the bigger question: Does that segmentation actually change what happens next? In this episode of The Execution Gap , I explore why provider segmentation alone isn't enough—and why different performance problems require different interventions. We look at the role of provider field teams, how field intelligence can reveal what dashboards can't, and why what appears to be provider disengagement may sometimes be an internal health plan proble
Season 2 Ep1 |Provider Performance - The Law of Diminishing Returns in Provider Outreach (opens the original)
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Does more provider outreach always produce better quality outcomes? In the Season 2 premiere of The Execution Gap , Peter Saah launches The Provider Performance Playbook , a new executive series exploring how high-performing Medicare Advantage organizations influence provider performance at scale. Using the management principle of diminishing returns as a strategic lens, this episode examines why additional provider outreach may create progressively smaller gains as the measurement year advances
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