Medicare Advantage (MA)
Full-spectrum Stars, HEDIS, and CAHPS improvement for Medicare Advantage plans seeking top-tier CMS ratings and bonus payments.
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Stars 4.0+ Achievement
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Part C & D Measures
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CMS Compliance Support
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Quality Bonus Optimization
CMS Regulated
Dual Special Needs Plans (D-SNP)
Specialized support for the most complex, high-need dual-eligible population requiring integrated care coordination and social determinants management.
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Integrated Care Planning
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Social Determinants Screening
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Complex Case Management
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Dual Eligible Coordination
High Complexity
Medicaid / Medi-Cal
Quality improvement programs tailored to Medicaid managed care requirements, supporting vulnerable populations and DHCS compliance.
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DHCS Quality Measures
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EPSDT Compliance
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Health Equity Programs
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Cultural Competency
DHCS Aligned
Covered California
Commercial market quality improvement supporting Covered California plans with HEDIS reporting, member engagement, and network performance.
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HEDIS Hybrid Reporting
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Member Engagement
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Network Quality Metrics
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ACA Compliance
Commercial
Integrated Health Plans & Systems
Comprehensive quality solutions for integrated delivery systems seeking to align clinical operations with value-based contracting requirements.
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Value-Based Contracting
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ACO/IPA Support
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Care Continuum Management
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Shared Savings Optimization
Integrated Care
Population Health Education
Educational programs through RCMA and IEFMC to train providers on population health management, quality measures, and value-based care principles.
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CME-Accredited Programs
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Quality Measure Workshops
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Value-Based Care Training
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AI in Healthcare Conferences
Education