⭐ EnsureSTARS™ — Stars Rating Management

Year-Round Stars Rating Excellence.

Stars improvement is a 365-day strategy, not a year-end scramble. EnsureSTARS™ gives Medicare Advantage plans real-time intelligence, provider collaboration workflows, and Star rating modeling to achieve and sustain top ratings.

The Stars Challenge

Every Half-Star Is Worth Millions. Are You Leaving Money on the Table?

A single Star rating improvement for a Medicare Advantage plan with 50,000 members can mean $10M+ in quality bonus revenue. Yet most plans still manage their Stars programs reactively — chasing gaps in the final months of the year when intervention opportunities have already closed.

EnsureSTARS™ changes that calculus. By monitoring measure performance continuously, modeling revenue scenarios in real time, and orchestrating member outreach 12 months a year, your plan can systematically climb the Stars ladder — and stay there.

Stars Rating Command Center
Overall Star Rating ▲ 0.3 vs last year
4.2 ★★★★
Projected end-of-year
4.5 ★
+$2.1M
Bonus at 4.5★
12
Measures Below Threshold
TOP OPPORTUNITY MEASURES
Colorectal Cancer ScreeningGap: 12%
Controlling Blood PressureGap: 9%
Statin Use in DiabetesGap: 16%
Core Capabilities

The Complete Stars Management Toolkit

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Real-Time Stars Monitoring

Continuous tracking of all 40+ Stars-linked measures with daily refresh. See current performance, trending direction, and gap-to-threshold calculations for every measure.

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Revenue Impact Modeling

Model the exact financial impact of achieving each Star level for your plan. See how closing specific measures translates to quality bonus dollars — prioritized by ROI.

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CMS Weighting Intelligence

Automatically apply current CMS Stars measure weights to calculate weighted composite scores. Stay current with annual methodology changes without manual reconfiguration.

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Year-Round Improvement Workflows

Structured monthly improvement workflows aligned to the measurement year calendar. Know exactly what to do in January versus September to maximize year-end performance.

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Targeted Member Outreach

Predictive-priority member lists for each Stars measure, ranked by probability of gap closure. Feeds directly into your care management and outreach teams.

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Multi-Year Trend Analytics

Track Stars performance year-over-year at the measure level. Identify what's improving, what's regressing, and what's driving the change — with drill-down to provider data.

Turn Your Stars Strategy Into Revenue

See how EnsureSTARS™ helps Medicare Advantage plans move the needle on Star ratings — and model exactly what that means for your bonus revenue.