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Services

Quality Improvement and Stars

… strategies with impact … We know data – inside and out. Our Quality Improvement and Stars solutions and Quality360™ HEDIS® engine are data-driven and built to …

Solutions

Stars Consulting Services

… through full action plans with access to a suite of Stars improvement initiative expertise and reporting, … performance analysis Eliminate data silos with our powerful Quality360™ HEDIS® engine Peer-group/competitor analysis  … … maximum impact … Tailored consulting packages … Featured Quality and Stars solutions  … Let’s unburden your health …

Solutions

Quality360™ HEDIS Engine

… analyze trends and monitor progress Our NCQA-certified Quality360™ HEDIS® solution brings the power of an advanced … reporting and accelerate gap closure. Our configurable Quality360™ HEDIS® solution delivers insight-driven quality … new insights in quality improvement … Featured Quality and Stars solutions  … Let’s unburden your health plan today … …
Press release

UST HealthProof’s Quality360™ Earns Certified Measures Status from NCQA

… achieved Certified Measures™ status for components of its Quality360™ platform. This recognition is for the HEDIS® 2024 Measurement Year from National Committee for Quality Assurance (NCQA). This prestigious certification … landscape,” said Sharon Kuhrt, Managing Director of Stars and HEDIS Quality Program Operations. “By focusing on …
Case study

When The Stars Align: Health Plan Strategically Stabilizes and Boosts Star Ratings, Bolsters Financial Strength

… efforts, and needed to maintain or exceed yearly $288M quality bonuses to enhance services for their substantial … operations and sustain continuous improvement Focus on Stars: Needed to maintain or exceed yearly $288M in Stars/quality bonuses Cost Control: Concerned about high …

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Who we help

… Administration and clinical operations, Risk Adjustment, Quality Improvement and Stars – all developed with the specialized needs of Medicare … and expertise in Core Administration, Risk Adjustment, Quality and Care Management solutions         … With a focus …

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Home Page

… Administration and clinical operations, Risk Adjustment, Quality Improvement and Stars to cover all your health plan needs. … As experienced … capabilities, deep expertise in Risk Adjustment, Quality Improvement and Stars management, we help improve …
Case study

Turning the Tide: A Health Plan’s Success Story Oversight Program Revitalizes Health Plan Facing Operational Challenges

… pain points. Goal 1: Achieve a 4-Star Rating and high-quality performance in the first year The Stars team partnered closely with the HEDIS® (Healthcare … surveys in CMS's efforts to enhance overall health and quality of care for members. We developed a strategy to …

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