How Palliative Care Strengthens Health Plan Quality Performance

August 25, 2025

For health plans, achieving high-quality performance means balancing clinical excellence, financial sustainability, and compassionate, patient-centered care. Palliative care programs uniquely advance all three—improving outcomes for members with serious illness while supporting health plan quality metrics, including HEDIS® and Medicare Advantage Star Ratings.

Why NCQA Recognizes Palliative Care Differently

The National Committee for Quality Assurance (NCQA) understands that standard quality metrics don’t always apply to patients with advanced illness. For this reason, NCQA excludes palliative care patients from fifteen key HEDIS measures. This ensures health plans are not penalized when these members decline screenings or interventions that don’t align with their goals of care.

This flexibility allows plans to strategically invest in palliative care programs while focusing on clinically relevant, patient-centered outcomes—without pressure to chase inappropriate metrics.

Impact on Medicare Advantage Star Ratings

Because HEDIS measures are a major driver of Medicare Advantage Star Ratings, these exclusions have significant implications. By removing palliative care patients from certain measures, health plans can:

  • Improve compliance rates
  • Strengthen Star Ratings
  • Unlock CMS quality bonus payments

Beyond exclusions, palliative care’s ability to reduce avoidable hospitalizations and emergency department visits improves utilization-based measures, directly supporting both quality performance and financial objectives.

At Vynca, our palliative care model delivers measurable impact:

  • 43% reduction in emergency department visits
  • 52% reduction in inpatient admissions
  • 3x longer hospice length of stay than the national average (53 days vs. 17 days)

These results directly support quality improvement, cost containment, and member experience goals.

The Advance Care Planning Advantage

Advance Care Planning (ACP) is now a dedicated HEDIS measure. Palliative care teams are uniquely positioned to facilitate meaningful ACP conversations and documentation, consistently driving completion rates well above national averages.

Vynca’s outcomes demonstrate this leadership:

  • 79% ACP document completion, compared with just 28% nationally

By achieving nearly triple the national average, Vynca not only ensures care aligns with member preferences but also positions health plans to succeed in meeting regulatory requirements.

How Does Palliative Care Improve Clinical Outcomes and Member Experience?

Beyond quality reporting, palliative care improves the lived experience of members:

  • 95% patient satisfaction
  • 81% symptom burden reduction after six weeks
  • Average length of service: 7 months, with meaningful engagement throughout
  • Clinician visits averaging 2.4 per month, with initial visits lasting 64 minutes and follow-ups averaging 45 minutes

These metrics highlight the depth and quality of clinical relationships, driving better outcomes and stronger member experience scores—both critical components of Star Ratings.

Strategic Benefits for Health Plans

By integrating palliative care into their benefit strategy, health plans can:

  • Demonstrate compassionate, appropriate care in their marketing and communications
  • Differentiate themselves in competitive markets, particularly among senior populations
  • Enhance member experience scores through personalized, coordinated care
  • Achieve both quality and financial performance objectives simultaneously

Palliative care is more than an added benefit—it’s a strategic lever that strengthens quality performance, aligns with NCQA and CMS standards, and measurably improves outcomes for members with serious illness.

Vynca’s proven impact—spanning reduced hospitalizations and ED visits, higher ACP completion, and superior patient satisfaction—makes palliative care both the right thing to do for members and the smart thing to do for business.

To learn more about how Vynca can support your practice, or to refer a patient today, visit vyncacare.com, email us at hello@vyncacare.com, or call 1-888-227-8884.