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Stars Program Management

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Stars Program Management

Effective Strategy and Execution

Advantasure’s two-step quality improvement program is a proprietary solution that first analyzes your HEDIS scores and Star Ratings, identifies and targets areas for improvement, then implements a strategy to meet ratings goals.

Later, our team works with you to identify and choose strategic initiatives proven to positively influence Star Ratings and HEDIS measures. Our advanced analytics and comprehensive reporting will help accelerate superior results.

New to Medicare? We can help you develop and implement successful strategies that lead to exceptional Star Ratings from the start.

More Features

We know that providers are a critical part of the Stars performance equation. That’s why we help you build stronger provider relationships and partnerships with tools that include:

  • A customizable provider library of educational resources
  • Provider reporting to regularly monitor performance throughout the measurement cycle

Finally, our end-to-end Star improvement program lets you choose targeted services supporting a streamlined annual administration of HEDIS medical record review and NCQA submissions for Medicare Advantage plans.

Accelerating Performance

  • Advantasure helped a plan in the Midwest gain its first 4-Star rating for 2021
  • Advantasure helped a client regain its lost 4-Star status in the first year of working with the plan on Star initiatives
  • Advantasure helped a plan move a full point in a single year, something accomplished by only 1.5% of all plans.
  • Supports Stars performance for a national PPO, the 6th largest plan in the country
  • Advantasure works closely with CMS and industry organizations to monitor changing regulations and processes around Star ratings to help clients manage the constantly moving bar for rating benchmarks and requirements

Benefits

  • Improved Star Ratings
  • Better HEDIS performance
  • Increased operational performance
  • Data-driven analysis and reporting
  • Continuous performance monitoring

Find Out How We Fuel Accelerated Performance

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