Pipelines
Extract, load and transform for claims, encounters, pharmacy and supplemental data, so every measure runs on clean inputs you can trace.
Managed Data And Analytics, Run By Our Team.
We run your pipelines, warehouse and Star Ratings reporting, documented so your team can take it back.
What We Run
Healthcare data analytics services for Medicare Advantage plans and value based care teams. Four pieces of work, and what each one hands your team.
Warehouse
A modeled, documented warehouse in your own cloud, the one place your measures and reports are built from.
Star Ratings Reporting
Measure and contract reports on the cadence your scoped plan sets, each with its method and a source for every figure, plus the ad hoc requests.
Measure Monitoring
Each measure tracked against the cut points through the year, with a drift note when one starts moving, not after CMS publishes.
Who It Is For
Three kinds of teams. Each gets the same pipelines, reporting and documentation, sized to its own data.
Medicare Advantage Plans
For the analytics team that rebuilds the same Star Ratings model every year and spends the rest of it on ad hoc requests.
Value Based Care Organizations
For provider groups working on their own claims, encounters, pharmacy, supplemental data, EHR extracts, attribution files and plan gap files.
Vendors And Consultants
For firms that need a Star Ratings analytics team behind their own delivery. Brand, ownership and the BAA are set in each agreement.
What A Report Looks Like
A page from a sample monthly report: where each measure stands against its next cut point, the drift note your team gets during the year, and the source behind every figure.
Contract H0000
Controlling Blood Pressure
- Rate
- 83%
- Next cut point
- 84%
- To go
- 1 point
Within reach
Drift note
Medication Adherence for Diabetes Medications is down from 88% at the last report to 87%, now 1 point above the cut point below. Moved from Holding to At risk.
Next step: the refill gaps behind the drop, reviewed with your quality lead before the next report.
- Medication Adherence for Diabetes Medications 87% next cut point 89% At risk
- Breast Cancer Screening 80% next cut point 83% Holding
Source: cut points as published by CMS for the 2027 Star Ratings. Method: how we calculate.
How It Starts
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A Conversation
What you run today, and what keeps breaking.
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A Scoped Plan
Sources, outputs, cadence, term and fee, in writing before work starts. Fees never depend on a rating.
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The First Report
We stand up the pipeline and deliver the first recurring report on the date the plan sets.
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Run On Schedule
Reports on the plan's cadence, and updates from us on a schedule, not only when something breaks.
Your Data, Your Code
Your Data
Public data first, your own data second, PHI last. Member level work runs in your own cloud under a BAA, signed before any member data moves.
Your Code
The code, models, documentation and runbooks are yours from the day we write them, kept current so your team can run the work without us.
Meteor Included
Every engagement includes Meteor, the free tier of the QuaSAR Platform, and most teams run the platform on the warehouse we manage. Would you rather run the work yourself? The platform starts free.
Questions We Get
Plain answers to what buyers ask first.
Scope and fee are agreed in writing before work starts. The scoped plan names the sources, outputs, cadence and term, and the fee follows from that scope. We never tie fees to a rating outcome.
As long as your scoped plan says. The first recurring report is the first milestone in the plan, and its date is written there.
A conversation about what you run today. Public data work needs nothing more. Work on your own data starts with access to the sources the scoped plan names.
Yours. The warehouse and all member level work run in your own cloud, never in ours, so your data stays in an environment you control.
Our team, led by Bert J. Rico, Founder and Chief Executive Officer. Every engagement is staffed by that team.
No. CMS calculates and publishes Star Ratings, and our fees never depend on one. We show where each measure stands against the current cut points and which gaps to close first.
No. Our measure math is deterministic and every figure is traceable, but ClearStars is not certified by NCQA to calculate its quality measures, and nothing we deliver is presented as a certified result.
Not Sure Where To Start?
Tell us what you run today. We will say whether the platform or our team fits.
HIPAA compliant today. See our Trust Center for our security and compliance posture.