--- title: "Navigating CMS updates: How payers can protect quality performance before it's too late" image: https://go.beckershospitalreview.com/hubfs/site/beckers-healthcare-whitepaper-cta.png --- [Skip to main content](https://go.beckershospitalreview.com/payerwp/navigating-cms-updates-how-payers-can-protect-quality-performance-before-its-too-late#main) - [BHR](https://www.beckershospitalreview.com/) - [Clinical](https://www.beckershospitalreview.com/quality/) - [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/) - [CFO](https://www.beckershospitalreview.com/finance/) - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Payer](https://www.beckerspayer.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) More - About - [About Becker’s](https://hubs.beckershealthcare.com/about) - [Careers](https://hubs.beckershealthcare.com/careers) - For Sponsors - [Contact Us](https://www.beckershospitalreview.com/contact-us/) - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/) - [Content Specs](https://hubs.beckershealthcare.com/content-specifications) - [MyBHC](https://my.beckershospitalreview.com/) Search [Subscribe](https://www.beckershospitalreview.com/subscribe/) [![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/) - Strategy - [Payer Issues](https://www.beckerspayer.com/payer/) - [Virtual Care](https://www.beckerspayer.com/virtual-care/) - Leadership & Workforce - [Leadership](https://www.beckerspayer.com/leadership/) - [Executive Moves](https://www.beckerspayer.com/executive-moves/) - [Workforce](https://www.beckerspayer.com/workforce/) - Policy - [Contracting](https://www.beckerspayer.com/contracting/) - [Policy Updates](https://www.beckerspayer.com/policy-updates/) - Resources - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Podcasts](https://www.beckerspodcasts.com/) - [Featured Content](https://conferences.beckershospitalreview.com/featured-content) - [Lists](https://conferences.beckershospitalreview.com/lists/7368520) - [Surveys](https://www.beckershospitalreview.com/surveys/) - [Videos](https://conferences.beckershospitalreview.com/videos) - [Newsletters](https://www.beckershospitalreview.com/newsletters/) - Events - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events) - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event) Search for: Clear search Search [![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/) Menu [Subscribe](https://www.beckershospitalreview.com/subscribe/) Search for: Clear search Search - Strategy - [Payer Issues](https://www.beckerspayer.com/payer/) - [Virtual Care](https://www.beckerspayer.com/virtual-care/) - Leadership & Workforce - [Leadership](https://www.beckerspayer.com/leadership/) - [Executive Moves](https://www.beckerspayer.com/executive-moves/) - [Workforce](https://www.beckerspayer.com/workforce/) - Policy - [Contracting](https://www.beckerspayer.com/contracting/) - [Policy Updates](https://www.beckerspayer.com/policy-updates/) - Resources - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Podcasts](https://www.beckerspodcasts.com/) - [Featured Content](https://conferences.beckershospitalreview.com/featured-content) - [Lists](https://conferences.beckershospitalreview.com/lists/7368520) - [Surveys](https://www.beckershospitalreview.com/surveys/) - [Videos](https://conferences.beckershospitalreview.com/videos) - [Newsletters](https://www.beckershospitalreview.com/newsletters/) - Events - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events) - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event) Site Switcher - [BHR](https://www.beckershospitalreview.com/) - [Clinical](https://www.beckershospitalreview.com/quality/) - [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/) - [CFO](https://www.beckershospitalreview.com/finance/) - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Payer](https://www.beckerspayer.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) - About - [About Becker’s](https://hubs.beckershealthcare.com/about) - [Careers](https://hubs.beckershealthcare.com/careers) - For Sponsors - [Contact Us](https://www.beckershospitalreview.com/contact-us/) - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/) - [Content Specs](https://hubs.beckershealthcare.com/content-specifications) - [MyBHC](https://my.beckershospitalreview.com/) ## Navigating CMS updates: How payers can protect quality performance before it's too late --- 2026 marks an unprecedented convergence of forces that will reshape the market landscape: - Tighter CMS quality measures focused on clinical outcomes - Historic membership churn creating data blindness for millions of new enrollees - Rising cost pressures with no additional resources This executive brief reveals why traditional gap closure programs are failing and how diagnostic intelligence enables the shift from retrospective campaigns to continuous, real-time quality management. Healthcare executives will discover the operational advantage that protects CMS Star Ratings, manages volatile risk pools, and improves member outcomes and experiences—all while doing more with the same team. **Key learning points:** - Three converging forces—regulatory shift, market disruption, and economic pressure—are creating an operational readiness crisis for health plans - Limited data from member churn undermines traditional claims-based gap closure strategies and puts your quality performance at risk - Diagnostic intelligence provides immediate clinical visibility for new members and enables earlier intervention versus claims lag - Lab data can help you operationalize continuous gap closure as an always-on model rather than a late-year scramble In 2026, you don't have a CMS problem or a churn problem—you have an operational readiness opportunity. Please fill out the form to download the whitepaper.  This whitepaper is designed for leaders of health plans, payviders, managed care organizations, accountable care organizations, and clinically integrated networks. [![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/) ### Contact Us [1-800-417-2035](tel:180041720354) [becker@beckershealthcare.com](mailto:becker@beckershealthcare.com) - [RSS Feed](https://www.beckershospitalreview.com/rss-feeds/) - [LinkedIn](https://www.linkedin.com/company/asc-communications/) - [X](https://x.com/beckersasc) - [Facebook](https://www.facebook.com/pages/Beckers-ASC-Review/85636754764) ### Other Becker’s Sites - [Hospital](https://www.beckershospitalreview.com/) - [ASC](https://www.beckersasc.com/) - [Spine](https://www.beckersspine.com/) - [Dental](https://www.beckersdental.com/) - [Behavioral](https://www.beckersbehavioralhealth.com/) - [Physician](https://www.beckersphysicianleadership.com/) ### More Resources - [Events](https://conferences.beckershospitalreview.com/upcoming-events/) - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/) - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/) - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/) Copyright © 2026 Becker’s Healthcare. All Rights Reserved. [Privacy Policy](https://www.beckershospitalreview.com/privacy-policy/). [Cookie Policy](https://www.beckershospitalreview.com/cookie-policy/). [Linking and Reprinting Policy](https://www.beckershospitalreview.com/uncategorized/linking-and-reprinting-policy/). | [Employee Access](https://mhq-ep.prismhr.com/) ![](https://www.facebook.com/tr?id=1151078721744405&ev=PageView&noscript=1) ![](https://px.ads.linkedin.com/collect/?pid=1310345&fmt=gif)