Perform+ Stars

Perform+ Stars is an AI/ML-based decision engine designed to improve CMS Star ratings by offering enhanced data clarity and streamlined decision support. It addresses the challenges posed by the dynamic nature of the CMS Star Ratings program, which includes changing measures, weights, and cut points. By integrating healthcare expertise and an Embedded Intelligence framework, Perform+ Stars facilitates significant improvements across the clinical value chain.

The platform provides comprehensive tools for healthcare empowerment, including:

• Measure Analysis: Offers detailed visibility on current, projected, and goal ratings with tabular and graphical views. It includes what-if analysis to predict the impact of changes in closure ease, cost, and manpower availability.
• List Prioritization: Provides a detailed view of prioritized providers and members with high potential for performance improvement, filtering based on impactability and engagement likelihood.
• Recommendation Engine: Utilizes AI to project end-of-year performance based on historical trends and current performance, recommending goals for Star ratings.

Perform+ Stars also scales efficiencies across contracts by projecting end-of-year performance to identify focal measures and align strategic goals. It recommends goals for Star scores, considering business intuition for optimal resource and budget planning. The platform analyzes 'what-if' scenarios to suggest paths to achieve Star goals and prioritizes provider and member lists aligned with these goals, targeting those with high potential for improvement.

Additionally, Perform+ Stars enhances provider compliance to achieve superior performance measures and leverages pre-built models and out-of-the-box capabilities to track performance across all contracts. It provides comprehensive data and analytics for transparent healthcare pricing, manages contracts and compliance with unmatched oversight, and builds a robust, scalable data strategy for long-term success.