Unify Medicare Advantage Stars Gap-Closure Work Across Payers

Step 1 Data Integration & Consolidated Analysis

Kairon Data Platform normalizes complex MA Stars quality measures across diverse payer contracts, ensuring consistency and comparability.

AI-driven predictive analytics provide accurate glide-path forecasting to anticipate year-end MA Stars performance levels.

Step 2 Dynamic Gap Prioritization

Kairon Insights generates practice-specific gap-closure, prioritizing measures based on strategic contract value – such as emphasizing triple-weighted measures like Controlling Blood Pressure in context with others.

The system seamlessly coordinates gap-closure efforts, in alignment with parallel initiatives like AWV and HCC Recapture.

Step 3 Real-Time Engagement

Kairon Engage proactively pushes automated alerts to practices based on performance trends, to prompt necessary action.

Example: MA Practice Focusing on Controlling Blood Pressure 

  • Practice gains clarity on real-time performance across multiple MA contracts from Kairon’s holistic performance dashboards.
  • Alerts notify the practice if projected year-end scores risk falling below target thresholds (e.g., dropping below a 4-star rating).
  • Kairon delivers evidence-based workflow recommendations (e.g., nurse-led interventions and patient monitoring programs), tailored to the practice’s operations.

Impact Summary

  • Enhance Stars rating by deploying resources where they matter most.
  • Significantly reduce practice confusion – improving engagement and satisfaction.
  • Ensure resources are optimally allocated to the highest-impact areas.