11th Annual Medicare Star Ratings & Quality Improvement Summit

Hear from top MA plan experts on strategic, tactical and practical solutions to
new regulatory updates and technologies in an era of constant change and declining budgets

2025 Partners

Educational Underwriters

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Newton Smith Group is an expert advisory services firm providing consulting services to health plans, providers, vendors, VC/PE firms, associations and other professional service firms to help them optimize Medicare Advantage and Star Ratings performance. We provide an array of consulting services from strategic planning to tactical execution and fractional staff augmentation, aligning our services to each client's business preferences and objectives using a customized approach for every client.

Our team consists of experienced consultants with extensive experience in Medicare Advantage, Star Ratings and health plan leadership. We support defined projects, retained services and leadership development, with a goal of rapid success and long-lasting relationships. We combine our expertise with a forward-looking lens on regulatory and technical requirements to deliver effective, sustainable, future-proofed solutions to our clients.

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BeneLynk is a national provider of Social Determinants of Health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. We serve plans and their members by creating a human-to-human connection and providing the assistance a member needs to get the benefits they deserve. By employing one dynamic conversation that flows organically to meet SDoH challenges, we build stronger human connections that are supported by innovative technology. Our mission is to improve lives and positively impact SDoH barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve.

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mPulse, a leader in digital solutions for the healthcare industry, is transforming consumer experiences to deliver better, more equitable health outcomes. By combining AI-powered analytics, omnichannel outreach and digital health navigation technology, mPulse creates personalized health journeys and provides advanced insights to facilitate collaboration across the healthcare ecosystem.

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Astrata is a digital quality company offering a suite of products and services for health plans and value-driven providers moving from paper-based clinical quality measures to digital clinical quality measures, as required by NCQA and CMS. Astrataโ€™s products make it possible to better measure and improve healthcare quality, a foundation for moving to value-based care. Astrataโ€™s value propositions include dramatic efficiency gains, higher clinical quality rates, and increased quality bonus payments

Supporting Organizations

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ProspHire is a national management consulting firm exclusively dedicated to healthcare. Specializing in project delivery and execution, we partner with healthcare organizations to streamline processes, optimize operations and implement transformative initiatives. Our Medicare Stars experts seek to become an extension of your team, dedicated to helping you shine brighter in the Stars Program now and into the future. We will develop customized strategies to elevate your Star ratings that can lead to sustainable long-term 4.0+ performance. We are here to support your organization and partner with you to tackle your most pressing challenges. Reach out to Stars Performance Leader Andrew Bell or visit our website to learn more. www.prosphire.com

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Bloom is a third-party insurance services provider that partners with Medicare health plans to deliver High Value Enrollment and Engagement for people with Medicare. Founded in 2007, Bloom has partnered with national and regional payers to implement solutions for every step of the member journey, from telesales and quote & enroll to health activation outreach. Supported by its Ascend technology platform, Bloom produces closer connections and better outcomes for Medicare beneficiaries and health plan stakeholders. To learn more, visit www.BloomThrives.com.

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PDHI's ConXus platform can revolutionize your population health management program with white-label digital solutions for incentive management, health assessments, and wellness. Our configurable solutions help clients meet critical quality measures by identifying health risks, promoting and rewarding gaps-in-care closure, and driving sustainable behavior change.

๐…๐ฅ๐ž๐ฑ๐ข๐›๐ฅ๐ž ๐ˆ๐ง๐ญ๐ž๐ ๐ซ๐š๐ญ๐ข๐จ๐ง: PDHI's white-label platform adapts to your specific needs and seamlessly integrates with your existing infrastructure.
๐„๐ง๐ ๐š๐ ๐ž, ๐Œ๐จ๐ญ๐ข๐ฏ๐š๐ญ๐ž, ๐‚๐ก๐š๐ฅ๐ฅ๐ž๐ง๐ ๐ž: We collaborate with top health plans and large employers to engage participants through effective health appraisals, self-management tools, and incentive programs.
๐„๐ฑ๐œ๐ž๐ฅ๐ฅ๐ž๐ง๐œ๐ž ๐ข๐ง ๐๐ซ๐ข๐ฏ๐š๐œ๐ฒ ๐š๐ง๐ ๐’๐ž๐œ๐ฎ๐ซ๐ข๐ญ๐ฒ ๐‚๐จ๐ฆ๐ฉ๐ฅ๐ข๐š๐ง๐œ๐ž: PDHI applications are delivered using a software-as-a-service (SaaS) model, meeting industry standards for privacy and security compliance.

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The Helper Bees is a nationwide leader of advanced technology solutions, providing Medicare Advantage plans with access to an innovative and scalable digital ecosystem. The homeAlignยฎ platform automates provider credentialing, fulfillment, invoicing, and payment, enabling seamless administration of supplemental benefits. Through this platform, we connect millions of families with transformative non-medical in-home services. We facilitate payments for eligible products and services through the helpfulโ„ข card, a first-of-its-kind flexible spending card for members. We partner with the world's largest Medicare Advantage plans, Long-Term Care Insurance carriers, and PACE providers to improve in-home care delivery and serve member populations regardless of need, geography, or regulatory climate. Find out more at thehelperbees.com.

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Why do marketers love using Hallmark cards? Because theyโ€™re opened, read, understood and acted upon better than any other marketing format. In a world where most marketing is largely ignored, Hallmark cards break through the online and offline advertising clutter, foster loyalty and increase ROI with your critical audiences. As the business-to-business unit of Hallmark Cards, Inc., Hallmark Business Connections focuses on ever-evolving cultural and relationship needs and helps companies leverage the unique permissions given to a Hallmark card to make deep emotional connections that influence behaviors and build lasting loyalty. Just like you rely on Hallmark to strengthen your personal relationships, you can count on us to keep your business going and growing.

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TransPerfect specializes in delivering end-to-end solutions for health plans and their affiliates. Our services include rapid same-day creation, translation and remediation of critical member materials such as EOBโ€™s, UM letters, appeals and grievance documents as well as staffing services to assist with the creation of all annual enrollment materials. This includes helping plans to create and file materials like Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documentation on time in any language or accessible format including braille, audio, or large print.

Beyond technology and staffing services for member materials, TransPerfect provides an extensive range of contact center solutions. These included dedicated agent (BPO) support for inbound, outbound and QA campaigns in English and over 200 languages. This also includes on demand over-the-phone interpretation, proficiency testing, and quality assurance analysis to enhance call center operations.

TransPerfect offers innovative, customized solutions for health plans and their partners, covering everything from written documentation to call center support. Our services are designed to enhance the member experience while ensuring seamless compliance with CMS regulations.