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Stars Program Management

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Stars Program Management

Develop a 5-Star Strategy

Successful Star rating management requires a flexible, data-driven approach customized to your organization. Shifting benchmarks, changes in regulatory standards and evolving metrics require detailed monitoring and adaptable plans that address gaps and challenges.

Stars Consulting Services

Our team of experts conduct an end-to-end analysis of current and historical performance, compare performance against industry competitors, and identify areas of opportunity to maximize ratings. Our collaboration is grounded in a proprietary solution with advanced analytic reports, forecasting, predictive models, executive dashboard, details on measure performance, member level gaps, overall plan and individual provider office level performance.

Our Proof

  • 4-Star Rating for plans over multiple years
  • 100% accurate HEDIS® audit and submissions
  • 90% HEDIS® report data retrieval rate
  • >4% gain in HEDIS® measurements from 2019 to 2020
  • >3% change from projected Star Ratings
  • 1-Star gain in a single year—only 1.5% of plans have achieved this

 

You might like:

Podcast: Shifting Measures in Stars—Making the Quick Pivot 
Podcast: Star Ratings Industry Report

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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