Case Study: University-Sponsored Payer achieves real-time predictive Medicare STARS insights with Optum

How one payer evolved its data storage and data organization methods to improve reporting and enable predictive analytics

University-Sponsored Payer engaged Optum for Medicare STARS advisory services after both a third-party STARS product and their home-grown platform failed to deliver dynamic, on-premise analytics and root-cause insights. The payer’s priorities were secure, on-premise data storage, real-time predictive scoring, and deeper analytic insight rather than static numbers.

Optum connected and organized the payer’s data systems, negotiated data access with partners, and delivered an in-house predictive analytics dashboard while consolidating two departments to improve reporting and processes. As a result, the health plan can accurately predict individual STAR scores in real time, identify issues earlier to drive action plans, eliminate reliance on an external vendor, and remain self-sufficient in STAR analytics going forward.