Real-time HEDIS tracking, automated member outreach, and predictive star rating modeling help health plans improve 1.5-2 stars in 18-24 months while earning $650K-$1.2M in annual quality bonuses.
CMS star rating changes are devastating health plan revenues—and most plans don't see it coming until it's too late.
Five integrated solutions that work together to boost star ratings and maximize quality bonuses
Live dashboard of all quality measures updated after every healthcare event
Automated identification and prioritization of care gaps by measure
Distribute performance data to your network providers automatically
Member communication campaigns triggered by care gaps
6-month advance warning of star rating changes
Live dashboard of all quality measures updated after every healthcare event
Automated identification and prioritization of care gaps by measure
Distribute performance data to your network providers automatically
Member communication campaigns triggered by care gaps
6-month advance warning of star rating changes
Based on actual customer outcomes over 18-24 months
See your potential savings and quality bonuses based on your member count
Health Plan - Calculate Your Potential Return
Medicare Advantage • 500K members
"We were stuck at 3.0 stars for 3 years. Needed 4.0+ for CMS bonuses."
Star Rating
Quality Bonuses
Faster Gaps
Time Saved
"The real-time quality gap identification helped us improve member care while earning significant bonuses. We're now a 5-star plan."
Sarah Chen
VP of Quality Operations
See how automation transforms manual quality workflows
20 Hours/Week
Generate reports
Pull data from multiple systems, merge in Excel
Prioritization
Manual review to identify high-value members
Outreach calls
50-100 manual calls per week
Documentation
Update spreadsheets with call outcomes
Result: 30-40% contact rate, gaps close too late
2 Hours/Week
Auto-generated lists
AI prioritizes by predicted STAR impact
Launch campaigns
One-click automated SMS + call workflows
Monitor responses
Real-time dashboard tracks engagement
High-value follow-up
Only call members who need personal touch
Result: 75-85% contact rate, gaps closed proactively
Time Saved Per Week
18 hours (90%)
Trusted by health plans nationwide to protect PHI and maintain regulatory compliance while maximizing quality performance.
Join health plans earning $650K-$1.2M in annual quality bonuses with real-time HEDIS tracking and predictive star rating modeling.