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What is STARSTrack?

STARSTrack is an innovative analytics platform designed to elevate healthcare quality by improving performance across multiple quality rating systems such as Medicare Stars, Marketplace Stars, local Medicaid programs, and commercial quality rankings through the integration of data, analytics, and actionable insights into one cohesive interface. The platform offers extensive visibility into all factors influencing quality performance by utilizing NCQA-certified quality measure calculations, which include HEDIS, Pharmacy Quality Alliance (PQA), CMS Operational, Medicaid Core Set, and customizable local measures, enabling analysts to focus on outcomes rather than cumbersome manual reporting while also facilitating proactive performance monitoring. Additionally, STARSTrack produces comprehensive built-in reports and consolidates star score intelligence from various contracts, allowing users to delve into historical performance data, analyze current trends, and examine projected outcomes. This comprehensive approach not only enhances strategic initiatives but also empowers healthcare organizations to make well-informed decisions that ultimately contribute to better quality of care. By optimizing these processes, STARSTrack significantly aids in the pursuit of excellence in healthcare service delivery.

What is LexisNexis Provider Integrity Scan?

In order to address potential risks, the Centers for Medicare and Medicaid Services (CMS) have established guidelines aimed at validating their networks. The significant influence of risk assessment processes on Pharmacy Benefit Managers (PBMs) has led to an unprecedented demand for accurate and actionable insights. The LexisNexis Provider Integrity Scan simplifies a variety of provider verification tasks and maintains continuous oversight by cross-referencing a multitude of files and lists, while additionally providing automatic notifications for various high-risk indicators. This tool excels in screening and validating providers both prior to and after enrollment, effectively working to detect and prevent criminal activities in the sector. By identifying potentially fraudulent providers and entities associated with health programs, the LexisNexis Provider Integrity Scan contributes to cost reduction for health care payers and PBMs. Furthermore, our cutting-edge solution enables users to perform multiple searches and access vital information, thereby improving their operational efficiency and security. This comprehensive strategy not only protects the integrity of health care programs but also cultivates a more trustworthy healthcare landscape, ultimately benefiting patients and providers alike.

Media

Media

Integrations Supported

XML

Integrations Supported

XML

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Ingenia Health

Date Founded

2022

Company Location

United States

Company Website

ingeniahealth.com/solutions/starstrack/

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/provider-integrity-scan

Categories and Features

Categories and Features

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