Consulting Service Examples

1 

Medicare Stars Improvement

Helping to hit the moving target that is Five Stars begins with a thorough assessment of your current Stars program. Based on the strengths and gaps found, we build a strategic plan to maximize available resources to improve the quality, satisfaction, and operational metrics included in the star rating. The engagement includes thorough estimation and customized predictive analytic tools.

2

Professional Education and Capacity Building

Building internal expertise is the best way to boost operational efficiency and improve business development. We offer comprehensive training programs on quality, satisfaction, and operational topics including:

• Medicare Stars

• Medicare and Marketplace Risk Adjustment

• Clinical quality improvement

• Quality measure deep-dives including HEDIS®, CAHPS, QRS, AHRQ, PQI, and others

3

Healthcare Information Technology

Providing guidance through the rapid changes in the healthcare technology landscape. New tools incorporating AI processing and FHIR communication are emerging while critical enterprise software is going through revisions and consolidations. We help with:

• Vendor needs assessment and selection

• Detailed transition assistance, including code mapping

• Evaluation of vendor and technology results and ROI

4

Advanced Analytics and Healthcare Equity

Every population is unique and ensuring that they are receiving the highest quality healthcare requires going beyond off-the-shelf measurements. We will build analyses including incorporation of advanced equity indices that can identify detailed population needs and root causes of why they may not be met.