In the rapidly expanding Medicare Advantage (MA) landscape, health plans must develop new strategies to improve their Stars program performance or risk decreased enrollment, financial losses and compromised benefit offerings. That performance will be a key differentiator among plans as well as a driver of overall success.
ProspHire has assembled a team of Medicare Stars experts who will stand with you to address your current Medicare landscape, stars performance opportunities and future growth scenarios. They will develop tactics around performance measurement and improvement to rapidly help you increase your rating.
Solutions at a Glance
See how ProspHire can help address the key issues facing your organization
Client Results
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Stars Assessment and Transformation
Conducted an 8-week assessment, overhauled HEDIS Chart Chase Season and executed on a Stars Transformation Initiatives which resulted in a Stars Rating increase -
Stars Program Assessment and Long-Term Strategic Plan Recommendations
A Stars Program Analysis and development of a “Math Path” and roadmap to achieve and sustain 4.0+ Stars -
Restructuring Stars Program Leads to Increased Revenues of Nearly $30M
Hands-on, data-driven custom restructuring of a Stars Program increased the rating from 3.0 to 4.0 and earned the MCO a Quality Bonus Payment. -
Nearly $3M in Savings with a New Custom HEDIS Tool and a 4.0 Star Rating
Avoided a contract closure when ProspHire built a custom HEDIS tool that increased efficiency, saved money and improved Stars performance.
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ProspHire
216 Blvd of the Allies, Sixth Floor
Pittsburgh, PA 15222
412.391.1100
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