Converged Stars Health Outcomes

Converged Stars Health Outcomes is an analytics software designed to help Medicare Advantage (MA) plans navigate the Centers for Medicare & Medicaid Services (CMS) new health equity measures. It provides monthly performance insights, allowing plans to improve care for members who need it most and earn associated rewards.

This software offers early visibility into how MA plans will perform on CMS's Excellent Health Outcomes for All (EHO4all) initiative, enabling proactive action before scores are finalized. Users can benchmark their performance against peer MA plans, comparing enrollment and performance on each EHO4all measure to identify strengths and areas for improvement.

The platform allows users to track scores and rewards, providing a clear view of performance on each EHO4all measure, monitoring rankings, forecasting scores, and estimating potential rewards. It also measures the effectiveness of interventions over time, allowing adjustments based on real progress.

Benefits

• Quickly identify care disparities and develop targeted solutions using contract and member-level data.
• Advance health equity by spotting care gaps and acting swiftly to improve access, quality, and outcomes for socially at-risk populations.
• Understand monthly performance by plan and contract, and how each measure impacts EHO4all scores and rewards.
• Plan with precision using clear insights to inform strategies and allocate resources effectively.

Built on the nation’s largest primary source healthcare dataset, the software provides a powerful dashboard to estimate EHO4all scores and potential rewards, highlighting performance by measure and revealing disparities. It empowers users to segment populations by social risk factors, estimate and track EHO4all scores and potential rewards, and see monthly performance trends segmented by plan and contract.