Expert Advisory Services

Wherever you are in your performance improvement journey, Healthmine’s consultants guide you to the actions needed to impact the right measures, evaluate market dynamics and opportunities, optimize distribution channels and fulfill strategic planning needs.

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Leverage Our Consulting Team's Extensive Industry Experience

Rooted in data analysis, Expert Advisory Services focuses on helping our health plan and provider partners improve performance, create 5-Star experiences, implement holistic population health programs and reduce costs.

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We consider the clinical, operational and network opportunities to improve performance with a focus on emerging technical, competitive and regulatory requirements.

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We seek short- and long-term solutions to help accomplish your goals as quickly as possible.

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We develop informed strategies to improve performance, address HEDIS®, Prescription Drug Event, CAHPS and Health Outcome Survey measures, and support successful value-based care and clinical integration initiatives.

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Our consultants provide real-time guidance to hardwire best practices into your routine operations and infrastructure for continuous, long-lasting success.

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Our in-depth understanding of Star Ratings strategies for success, HEDIS® measures and  NCQA's transformation to digital quality measurements enables you to rapidly adapt to an evolving industry.

Adopt New Strategies

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Navigate New Risk Adjustment Rules

Prepare your organization with the right practices to address Risk Adjustment Data Validation.

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Evolve Your Stars Strategies

Get ahead of the upcoming changes to the Star Ratings program with six tips for aligning your internal strategies.

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Review New Stars Regulations

Update your Stars work plans with an in-depth analysis of the 2024 Medicare Advantage Final Rule.

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Meet the Team

Every team member has more than 15 years of experience working with hundreds of health plans and has first-hand knowledge of health equity, digital quality measurements and regulatory compliance.


Led by the industry’s foremost experts and thought leaders, Healthmine will help you create, assess, enhance and implement a strategy to achieve and maintain the highest quality ratings and service excellence. 

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Star Ratings Assessment & Improvement

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CAHPS Improvement & Member Experience Optimization

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HEDIS Reporting, Processes & Digital Quality Measurement Transformation

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Quality Improvement Program Development & Redesign

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Population Health Program Development & Redesign

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Member & Provider Engagement and Experience

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NCQA and Health Equity Accreditation

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Model of Care Development & Audit Readiness

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Plan Operations & Clinical Integration Strategies

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Risk Adjustment & Value-based Care Strategies & Transformation

Markets We Serve

  • Medicare Advantage (MA)
  • Dual Special Needs Plans  (D-SNP)
  • Medicaid 
  • Integrated Health Plans and Systems
  • Affordable Care Act (ACA)
  • Risk-Bearing Providers and Accountable Care Organizations (ACO) 
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Ready to See Healthmine in Action?

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