Improve quality with targeted programs

Partner with the experts when it comes to Stars and HEDIS to improve outcomes and deliver the best service.

Lower costs & improved care

We’ve built our clinical programs to help you achieve and maintain superior Star Ratings. Our evidence-based practices and solutions help you address key performance measures to enhance care, improve medication adherence and help your members experience the best health outcomes, driving higher Star Ratings and boosting member satisfaction.

Innovative tools & member engagement

You need a program that works with your member population. We offer solutions for: 

  • Statins in persons with diabetes 

  • Statins in cardiovascular disease 

  • Diabetes medication adherence 

  • RAS antagonist adherence (high blood pressure) 

  • Statin adherence (cholesterol) 

  • Osteoporosis management

Modern tech & member engagement strategies

Advanced analytics

Use just your pharmacy or medical claims data — or combine both. Then we identify baseline and recurring outreach opportunities to deliver a program customized to your needs. 

Dynamic platform 

Our clinical team uses a proprietary platform to track all interventions and generate detailed reporting, including population and member-level metrics.

Clinical outreach

We complete all outreach using plan-specific documents and information that summarizes the program, recommendations and clinical guidelines.

1M

When it comes to clinical solutions, we manage 1M+ lives across multiple lines of business for up to 18 health plans.

Exceeding national benchmarks

We’ve helped our customers achieve Star Ratings that beat the national benchmark average through tailored clinical programs.
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