Medicare Advantage Star Ratings and other value-based care structures require integration between the quality, pharmacy and finance teams to ensure maximum health plan ROI. Quantify™ is the Adhere™ platform’s real-time analytics engine that integrates health plan quality gaps with financial budgeting processes – measure by measure. Quantify’s advanced analyses stratify and prioritize budgetary investment scenarios across each plan contract quality measure to maximize the aggregate Star Ratings and year-over-year quality improvement (Qi) factor.

Quantify’s data integration leverages machine learning and adaptive data preparation processing to aggregate HEDIS®, pharmacy claims, CAHPS and HOS datasets to provide population cohort analyses. Business analytics provide visualizations that overlay financial costs with benchmarked population predictive models using comparative data sets. Executive dashboards and ad hoc reporting enable health plan executive teams to work collaboratively with greater transparency to achieve greater Star Ratings.