STARS AND CARE GAPS ANALYSIS

PROVIDING EXPERTISE TO ENSURE QUALITY OF CARE

Episource has comprehensive experience in assessing and developing improvement projects for Medicare STAR measures.

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OVERVIEW

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.

BENEFITS

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)

KEY SERVICES

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    ACO GPRO

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    HEDIS Medical Record Reviews

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    Member Outreach and Interventions

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