Overview

Abacus Insights’ Stars Performance Data Solution is a cloud-hosted SaaS data offering that provides healthcare payers with insights-ready data for enhancing Medicare Advantage Star Ratings performance. The solution consolidates and harmonizes disparate data sources, delivering accurate, timely, and usable data at the measure, member, provider, and contract levels. This eliminates manual data wrangling and empowers payers to focus on targeted interventions that improve quality outcomes, member experience, and overall Star Ratings performance. Centralized projections and performance views support decision-making that drives quality bonus opportunities and improved operational efficiency.

Features and Capabilities

• Data Integration and Usability: Provides a single integrated view across HEDIS, Part D, CAHPS, HOS, and CMS Operations measures, eliminating siloed data challenges.
• Projected Performance Metrics: Includes projected cut-points and predictive insights for quality measures to anticipate outcomes.
• Member and Provider Insights: Detailed tracking of Rx/Part D and HEDIS measures at member and provider levels for targeted quality improvements.
• Experience and Engagement Analytics: CAHPS member experience tracking helps identify quality drivers and engagement opportunities.
• CMS Adjustment Integration: Supports accuracy with factors like Categorical Adjustment Index and upcoming Health Equity Index.
• Cloud Delivery: Secure cloud environment for complete, timely, and flexible use case-specific data access.
• Automated Distribution: Data delivery through extracts, BI tools, APIs, real-time streams, and analytics platforms.
• Annual Updates: Continuous updates to include new measures, validation, and improved analytics.