Don’t Just Report Stars Performance. OWN It.

Perficient’s Stars Intelligence Solution is an AI-native Star Ratings performance management offering for Medicare Advantage and Prescription Drug organizations. It brings together FHIR-native data, predictive models, and AI-guided workflows to help plans identify risk, prioritize interventions, and act before ratings are finalized. Leaders can focus investments on the measures most likely to improve performance, strengthen CAHPS and member experience, and protect bonus revenue.

Traditional Stars reporting shows what has already happened. Stars Intelligence helps health plans see what is likely to happen next. The solution forecasts ratings, identifies measure-level risk, simulates interventions, and uses agent-driven workflows to move insights into action. Instead of relying on broad campaigns or delayed third-party dashboards, quality teams can focus their resources where they are most likely to improve performance.

Stars performance is becoming harder to predict, yet many care teams still rely on reactive, backward-looking models. Measure changes, evolving CAHPS weighting, and increased performance volatility can put Quality Bonus Payments at risk before teams have time to respond. At the same time, many quality programs still depend on siloed processes, including outreach lists, vendor-managed initiatives, static dashboards, and manual workflows. Stars Intelligence brings data, intelligence, and action together in one platform, helping health plans understand what’s driving performance, identify emerging risks, and focus on the interventions that can have the greatest impact.

Perficient’s Stars Intelligence Solution is designed to operate within the health plan’s technology environment, including platforms such as Databricks, Google Cloud, Snowflake, and AWS. Built on a secure-by-design, zero-trust platform, it keeps data, models, and calculations within the organization’s environment, to secure access to sensitive data.