PERFORM+ STARS

Harnessing an AI-based guided path to improve CMS Star ratings

Tracking performance across contracts and accessing actionable insights in a single view

Perform+-Stars 1
PERFORM+ STARS

Leveraging the power of AI to improve CMS Star ratings

In the complex landscape of healthcare, the CMS Star Ratings program offers substantial financial benefits, including bonuses, rebates, and increased member enrollment. However, the program’s dynamic nature—marked by ever-changing measures, weights, and cut points—presents a challenge for Payers. Enter Perform+ Stars, an AI/ML-based decision engine. It tackles this challenge head-on by providing enhanced data clarity and streamlined decision support for Star measures. By combining healthcare expertise, data science proficiency, and an Embedded Intelligence framework, Perform+ Stars drives significant improvements across the clinical value chain, ensuring a comprehensive enhancement of Star ratings.

Offerings

Empowering Healthcare with comprehensive tools

metrics 1

Measure analysis

Get detailed visibility on current, projected, and goal ratings with inbuilt tabular and graphical views. Use what-if analysis to predict the impact of changes in ease of closure, cost, and available manpower.

Group (2)

List prioritization

Access a detailed view of prioritized Providers and Members with high potential for performance improvement. Filter Members and Providers for each Star goal based on impactability and likelihood of engagement.

cockade 2

Recommendation engine

Utilize an AI-powered recommendation engine for end-of-year performance projections based on historical trends and current performance. Get recommended goals for Star ratings, including ease of closure, cost of closure, and available resources.

Scaling efficiencies across contracts

row-table 1

Project End-of-Year Performance to identify focal measures and align strategic goals.

Group (3)

Recommend Goals for Star Scores that consider business intuition for optimal resource and budget planning.

Group (4)

Analyze 'What-If' Scenarios to recommend measures and suggest paths to achieve Star goals.

server-rack 1

Prioritize Providers and Members Lists aligned with Stars goals, targeting those with high potential for performance improvement.

layout-11 2

Enhance Provider compliance to achieve superior performance measures.

CONNECT WITH US

Leverage pre-built models and out-of-the-box capabilities to track performance across all contracts

award
PERFORM+ STARS

Access comprehensive data and analytics for transparent Healthcare pricing

fav-list 1

Perform+
RealSight

Access comprehensive data and analytics for transparent Healthcare pricing

RealSight_Screen_Updated-1
document-copy 1

Perform+ Contracts

Manage contracts and compliance with unmatched oversight

Graph-02
cardimg

Perform+ DataScale

Build a robust, scalable data strategy for long-term success

Graph-05
chart-bar-33 1

Perform+ Regulatory

Close regulatory gaps and enhance performance metrics

Graph-03

Insights

Practical thought leadership on healthcare and technology

AHIP Webinar | FHIR for HEDIS and Stars

AHIP Webinar | FHIR for HEDIS and Stars

FIERCE Webinar | Price Transparency Analytics: Impact and Readiness

FIERCE Webinar | Price Transparency Analytics: Impact and Readiness

Testing Strategies for Data Lake Hosted on Hadoop

Testing Strategies for Data Lake Hosted on Hadoop

Five Ways to Win at HEDIS Compliance

Five Ways to Win at HEDIS Compliance

Driving better development, delivery, and operational excellence with DevSecOps

Driving better development, delivery, and operational excellence with DevSecOps

AHIP Webinar | FHIR for HEDIS and Stars

AHIP Webinar | FHIR for HEDIS and Stars