We help Medicare Advantage plans, consultants, and health tech vendors turn raw data into actionable insights and strategies that move the needle on CMS Star Ratings — from forecasting to operational execution.
Core services
Our data science team brings together healthcare domain expertise and modern machine learning to deliver actionable insights — not just analysis.
Machine learning models that forecast measure-level and overall star outcomes based on current YTD performance, historical trends, and other customizable parameters.
Going beyond surface-level metrics to identify the true drivers of performance at the measure level by analyzing variation across providers, populations, and operational processes.
Leveraging advanced data science models to predict multiple sets of cut points and pre-built cut point scenarios embedded within apps for a faster simulation.
Propensity scoring and segmentation models that rank members by likelihood to engage and estimated return on outreach investment for each quality measure.
Attribution analysis and provider-level dashboards revealing which PCPs, specialists, and care sites are helping or hindering quality measure performance.
Statistical modeling of survey responses to identify the operational and clinical drivers most strongly influencing member health outcomes and satisfaction scores.
Tracking and visualization of plan-level and market-level performance against peer contracts combined with multiple proprietary and custom internal metrics to uncover competitive insights.
Design and deployment of automated data pipeline, systems, and processes connecting claims, encounters, lab feeds, and survey data into a unified Stars analytics data layer.
Custom BHA dashboards and reports within our tools designed for plan leadership, presenting real-time Stars performance, trend trajectories, and campaign ROI.
How we work
Every engagement follows a proven six-step methodology designed to minimize time-to-insight and ensure your team can act on what we build.
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Who we serve
Whether you run a health plan, advise one, or sell into one, we have a service model that fits your needs.
Regional and national plans seeking to move to 4+ stars with limited internal data science capacity.
Consulting firms that need data science depth to strengthen client engagements and differentiate their Stars improvement recommendations.
Companies that need to quantify their Stars impact to build compelling value propositions and win health plan buyers.
We offer a complimentary discovery session to assess your current data environment and identify your highest-impact opportunities.