Medicare Advantage plans
Certainty earlier, not another dashboard.
ClearStars is CMS Star Ratings analytics for Medicare Advantage organizations. We tell you where the cut points are going and which measures are worth funding this year, at measure level, with the methodology attached to every figure. We do not replace your measure engine. We make its output actionable while the measurement year is still open.
When this becomes urgent
- Plan Preview told you something you could not act on in time.
- A rating crossed the 4.0 threshold in either direction.
- You are setting the Star Ratings assumption for the bid.
- CMS changed the measure set or the methodology and you are reconciling.
- A new quality or analytics leader needs a baseline and a plan inside 90 days.
- Numbers will not tie between the plan, the vendor, and the abstraction team.
Two people have to say yes
One owns the number and the budget. The other owns whether the math holds up. We build for both, and we send the methodology ahead of the meeting so the second one can attack it before agreeing to anything.
VP of Quality and Star Ratings
Quality and Stars
You know what the strategy should be. You are waiting on a ticket for the numbers, and the two things you fear most are a half star drop and a failed audit. Walk into the executive suite with a ranked, dollar weighted plan at the start of the measurement year, instead of a year end surprise.
Director of Analytics and Reporting
Analytics and Reporting
Stop rebuilding the same model every year. Let AI handle the routine ad-hoc requests so your team can build the predictive future instead of being the report desk, on a maintained registry with versioned specifications you can inspect. You are the person a security review runs through, so the first product asks for nothing that needs one.
Products
CMS Star Ratings intelligence
ClearStarsQI
See your Star Ratings performance against CMS cut points, identify bubble measures, and model the math to your target rating. No protected health information, no BAA, fastest to deploy.
Deterministic workflow AI
ClearStarsQI+
Ask your quality data a question in plain English and get a precise, sourced answer, down to the claim event that moved a member in or out of a measure. It shows its work and it does not invent your numbers.
Clinical outcomes engine
ClearStarsLM
Connect quality performance to clinical outcomes and value-based care results, so improvement work is prioritized by patient impact rather than by checkbox.
Services
Services fund the product build and carry the same craft bar. Across every engagement, what we build must survive us: documented deeply, governed strictly, and handed to your team to run.
Managed Services
We run it, on our runbooks, on a published cadence. Because one size does not fit all.
Managed Clinical Analytics
Your analytics team, extended. Digital quality data operations, measure outcomes reporting, and end-to-end clinical analytics, built to outlast our team.
Provenance First Data Architecture
Provenance-first data architecture. Every published rate traces back to the source record, the specification version, and the run that produced it.
Assessments and Advisory
Bounded engagements that end in a written deliverable rather than an ongoing dependency. Start here when you need to know where you stand.
Clinical Analytics Advisory and Fractional CDO/CAIO
A bounded advisory engagement on your quality analytics strategy, with fractional chief data or chief AI officer leadership sized to your stage. It ends in a written plan your team owns.
Digital Quality Assessment and Readiness Report
A bounded assessment that moves no protected health information and needs no BAA, ending in a written report you can hand to a board or an auditor.
Supplemental Data Impact Analysis and ROI Assessment
Which supplemental feeds actually move a rate, which ones cost more to validate than they return, and which ones will not survive an audit.
Custom Development
We build it, scoped and staged, documented well enough to outlast us. Unique solutions for your unique business.
Custom Development
Architecture, engineering, and analytics delivery: the governed data foundation, the integrations on top of it, and the reporting that comes out.
What we will not do
We will not guarantee a Star rating or tie our fees to one, because we influence a number we do not control. We are not a certified measure engine and we will never imply otherwise. We do not do chart abstraction, chart chase, or medical record review. Member engagement vendors sit downstream of our work, which makes them a complement rather than a competitor.