Episource has comprehensive experience in assessing and developing improvement projects for Medicare STAR measures.
We integrate our expertise to improve quality of care and increase business process efficiencies. By identifying a subset of key measures to focus on, we establish and meet set goals for those measures.
Episource works closely with health plans to develop, implement, and monitor quality improvement programs to attain established goals and maximize reimbursement from CMS.
Improves patient satisfaction
Completes gap analysis for all reportable STAR measures
Decreases cost of care while improving care quality
Provides both quantitative and qualitative analysis
Maximizes reimbursement from CMS
Includes discussions with relevant health plan staff and review of other studies to understand barriers (e.g., access and availability, cultural and linguistic assessment, group needs assessment)
DETAILED ANALYSIS & SURVEY RESULTS
Detailed analysis of HEDIS, HOS, and CAHPS survey results for applicable star measures
REVIEW MEASURES & IDENTIFY OPPORTUNITIES
Review of non-reportable measures to identify opportunities for changing reportable status
Qualitative analysis including detailed barrier analysis, attribution analysis, cost benefit, and effectiveness analysis
DETAILED MEASURE BREAKDOWN
Comprehensive breakdown of all health plan measures (e.g., telephone access, Part D measures)
DEVELOPMENT AND IMPLEMENTATION
Development and implementation of interventions at health plan, provider, and member levels
MONITOR STAR RATING
Reports that allow Plans to monitor STAR rating for HEDIS measures and other reportable star measures on a real time basis