Stars Performance Improvement

ProspHire is adept at driving continuous improvement to optimize Stars performance. Through data driven analyses and clearly defined strategies, our team of seasoned subject matter experts implement interventions to increase Stars ratings and maximize rebate potential.

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Outcomes

With ProspHire, your Medicare Advantage Plan will be equipped to resolve the challenges that you face today and in the future. With a focus on the differentiated needs of specific contracts and an ever-evolving Medicare Stars program, we help clients convert uncertainty into possibility.

 

 

Foundational and operating model design
Intervention business cases and ROI analysis
Stars roadmap and implementation plan
Measure assessment and prioritization plan
Data-backed “math path” to achieve your goals
Part D strategies and delivery plans
Scalability considerations and mitigation plans
HEDIS season planning

Deliverables

ProspHire creates value and drives results for your Medicare Advantage Plan. With a data-backed approach and our team of seasoned subject matter experts, we deliver solutions to enhance your Stars program and ratings.

  • Stars Playbook with immediate impact analysis and short and long-term recommendations
  • Detailed Measure Assessment to focus on the areas with the greatest ROI
  • Continuous monitoring to measure your progress and proactively adapt
Case study

Helping an MCO Achieve a 4.0 Star Rating

ProspHire aides in in first-time 4.0 Star rating by standing up, stabilizing and transitioning to a dedicated Stars department.

What Our Customers Are Saying

“The ProspHire team was an integral part of our successful transformation. Their experience and industry acumen provided the perfect level of support and leadership that has helped build a foundation for sustainable success.”

VP, Medicare and Medicaid Quality Programs
ISSUE BRIEF

CMS Final Rule Stars Program Update

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Let’s have a conversation

Andrew Bell is a Senior Consultant at ProspHire and leads the Stars Performance Improvement service group. He is experienced in operational excellence, process improvement and compliance reporting.