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The Challenge: You Can’t Improve What You Don’t Understand
In today’s Stars environment, health plans are expected to deliver stronger performance while managing varying contract maturity levels, operational capabilities, geographic variability and diverse member populations. At the same time, regulators continue to refine the program, most recently the proposed CY 2027 rule, adding complexity and volatility to an already high-stakes system.
As pressure mounts, plans must do more than improve outcomes. They must understand whether their contracts are positioned to perform, sustain and scale success.
Without a clear baseline, benchmarking or contract readiness evaluation, plans risk investing in the wrong strategies, duplicating effort or missing meaningful opportunities for improvement.
What High-Performing Plans Are Doing Differently
Leading organizations are pausing before they push forward. Rather than spreading resources evenly across contracts or chasing isolated measure improvements, they begin by gaining a clear picture of where they stand.
This disciplined approach enables targeted improvement, reduces waste and focuses effort where it will generate the greatest return.
Three Priorities for Contract Benchmarking and Readiness
- Contract-Level Benchmarking: Measure competitive standing by contract to identify improvement opportunities, risk exposure and of performance leverage.
- Operational Readiness Assessment: Evaluate the core health plan capabilities that drive Stars performance, including analytics, governance, provider engagement, member experience strategies and vendor accountability.
- Targeted Investment and Strategy Alignment: Use assessment insights to direct resources toward contracts with the strongest opportunity for sustainable performance improvement.
Our Perspective
At ProspHire, we believe the strongest Stars strategies begin with precision, knowing exactly where you are before deciding where to go next. Through Contract insight, operational assessment and focused prioritization, create the clarity plans need to aim higher with confidence and measurable impact.
Measure. Benchmark. Improve with Purpose.
Stars improvement begins with understanding. Let’s redefine how you benchmark performance, assess readiness and elevate contract performance outcomes with a strategy built on clarity, focus and execution.
Connect with ProspHire to learn how a contract-level Stars assessment can position your plan for sustainable success.
