Medicare Stars Rating Optimization

Quality Programs

Our Core Quality Initiatives

Comprehensive, evidence-based programs designed to improve measurable health outcomes and drive sustained quality improvement across your patient population.

Quality measurement touches every patient in your practice — not just one program. The same screenings, chronic-care management, and medication adherence work that drives a strong Medicare Stars rating also closes HEDIS gaps for your D-SNP, Medicaid, commercial, and Marketplace patients. The work is the same; the benefit compounds across your whole panel.

IEFMC delivers an end-to-end quality improvement engine — combining data intelligence, provider engagement, member outreach, and CAHPS coaching — so your practice closes gaps earlier, documents care accurately, and performs well under whatever programs your patients are enrolled in.

Healthier Panels Earlier screenings and tighter chronic-care management improve outcomes across every line of business.

Less Administrative Burden One coordinated gap-closure effort satisfies overlapping Stars and HEDIS requirements, so your team isn’t chasing the same measures twice.

Stronger Performance Everywhere The same quality work strengthens your standing whether a patient is in Medicare Advantage, D-SNP, Medicaid, or a commercial plan.

The CMS Five-Star Scale

1 Star Well Below Average

2 Stars Below Average

3 Stars Average

IEFMC Target

4 Stars Above Average — IEFMC Target

5 Stars Excellent + Maximum Bonus

Stars Rating Domains We Improve

Part C

Staying Healthy (Part C / HEDIS®)

Breast Cancer Screening
Colorectal Cancer Screening
Annual Wellness Visits (AWV)
Flu & Pneumonia Vaccines
Bone Mass Measurement

Part C

Managing Chronic Conditions Staying Healthy (Part C / HEDIS®)

Diabetes Care — HbA1c & Eye Exam
Controlling Blood Pressure
Statin Use in CVD & Diabetes
Rheumatoid Arthritis Management
Osteoporosis Management

Part C

Member & Patient Experience (CAHPS)

Getting Care Quickly
Doctor Communication Quality
Care Coordination
Overall Plan Rating
Complaints & Grievance Resolution

Part D

Medication Safety & Adherence (Part D)

Medication Adherence — Cholesterol, Diabetes & Hypertension (MAC / MAD / MAH)
Statin Use in Persons with Diabetes
MTM Comprehensive Medication Review
High-Risk Medication Reduction
Drug Plan Customer Service

How IEFMC Drives Your Quality Score

Data-Driven Gap Analysis

We mine claims, EHR, and encounter data to surface your highest-impact measures and prioritize resources where they move the needle most — across every line of business.

Provider Engagement & Training

On-site coaching sessions, measure education, and documentation best practices — customized for each practice’s workflows and patient panel.

Multilingual Member Outreach

Phone, mail, and text campaigns in multiple languages to close preventive and chronic care gaps before measurement deadlines.

Real-Time Performance Tracking

Live dashboards benchmarking your measure rates against national, regional, and program threshold targets — so your team always knows where you stand.

CAHPS & Patient Experience Improvement

Communication coaching, satisfaction surveys, and care-transition optimization that directly lift the experience measures across your programs.

Medication Adherence Programs

Pharmacy coordination, refill reminders, and barrier-removal strategies to improve adherence measures and MTM completion rates.

Ready to move up the star scale? Partner with IEFMC and turn your Stars rating into a competitive advantage.

Start Your Stars Journey

IEFMC has been an exceptional partner to our medical group. Their expertise, knowledge, and hands-on support have been instrumental in improving our Pay for Performance initiatives and achieving our quality goals. What truly sets them apart is their ability to become an extension of our team, building strong relationships with our office staff, and fostering a collaborative environment focused on success. We are grateful for the outstanding partnership and support provided by our Quality Improvement Specialist and look forward to our continued collaboration.

Diana Q. Amaya, MBA Director, Quality Improvement & Member Services

Ready to raise quality across your whole panel?

Partner with IEFMC and turn coordinated gap-closure into stronger performance under every program your patients are enrolled in.

Start Your Quality Journey

Our Core Quality Initiatives