Star Impact Design & Execution

A 0.5 Star score improvement is worth tens of millions of dollars in quality bonus payments and member retention. Most health plans know this. What they lack is the in-year execution capability to actually move the score before the measurement window closes.

What we deliver

  • Star gap analysis — measure-level prioritization by financial impact and closure probability
  • HEDIS in-year execution strategy — provider engagement, outreach, and documentation design
  • CAHPS improvement architecture — member experience redesign tied to survey performance
  • HOS functional health program design and provider alignment
  • Pharmacy measure performance strategy — adherence, MTM, and formulary optimization
  • Star governance model — KPIs, accountability structure, and executive reporting