Insights
Practical analysis for health plan leaders
Clinically grounded perspective on Stars, HEDIS, accreditation, care models, and the vendors and investors who serve health plans. Written by Tina Dueringer, BSN, RN, CCM, PCC.
Featured
Stars and D-SNP · Coming soon
Data differences, measure specifications, and the D-SNP landscape
Why the same measure can tell different stories across data sources, what the specifications actually require, and what the shifting D-SNP landscape means for Star Ratings strategy. A preview of Tina's December 2026 Star Ratings Master Class session.
More insights
Stars strategy · Coming soon
Stars strategy is a multi-year plan, not an annual scramble
How to build a Stars roadmap that survives measure changes, cut point shifts, and budget cycles.
HEDIS MRR · Coming soon
What separates a strong medical record review season from a weak one
Chase strategy, abstraction quality, over-read, and vendor oversight for hybrid measures.
HEDIS strategy · Coming soon
Your provider contracts are your HEDIS strategy
Why measure performance stalls when contracts do not require the data, and what to change before digital measures arrive.
AI oversight · Coming soon
Vet AI vendors before you sign, not after
What delegated oversight should look like when an AI vendor touches care management or UM.
Member engagement · Coming soon
Engagement that moves measures, and engagement that just moves members
How to tell whether outreach changes outcomes or only activity counts.
Digital quality · Coming soon
HEDIS's next frontier: what digital measurement actually requires
The latest measure changes and the operational work behind the move to digital quality measurement.
Industry data · Coming soon
Health plan ecosystem job losses: quarterly tracker
A verified tally of workforce reductions across plans and plan vendors, updated each quarter.
Accreditation · Coming soon
Where accreditation file reviews fail
The documentation patterns that cost points in UM, credentialing, and case management.
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Speaking
On the stage
Tina speaks regularly at national Stars, HEDIS, and quality conferences.
Upcoming · Dec 14 to 16, 2026 · Scottsdale
RISE Star Ratings Master Class
Data Differences, Measure Specifications, and the D-SNP Landscape
Event websiteUpcoming · Mar 16 to 18, 2027 · Las Vegas
RISE National 2027
Session details to be announced
Event websiteRISE West 2026
San Diego · Sep 2026 · Conference chair
The RISE Special Needs Plan Leadership Summit
Jersey City · Spring 2026 · Conference chair
The HEDIS Strategy Not Discussed
Provider contracts, enforcement, and the shift to digital quality measures. Co-presented with Dwight Pattison, QPAdvantage.
RISE HEDIS Summit · Baltimore · Nov 2026
