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solved. Regarding the low CMS star rating issue for healthcare insurance companies;
Determine an opportunity for a healthcare quality improvement in the member experience/satisfaction for the healthcare organization.
Explain how the metrics drive an opportunity for improvement.
Determine an evidence-based quality improvement tool for addressing an improvement opportunity.
Apply a problem-solving framework or tool to identify what could have been done differently based on the metrics and show and/or describe your application of the tool or framework.

solved