Risk Adjustment & STAR Quality Performance
Unbiased, end-to-end advisory and execution services that maximize revenue accuracy, Star Ratings, and quality outcomes — for health plans and ACOs navigating today's most complex payment environments.
Our Vision: To be the most preferred and trusted partner providing unbiased end-to-end advisory and execution services to maximize Risk Adjustment, Star Rating, and Quality Performance.
Core Advisory Services
Integrated Solutions Across the
Revenue & Quality Lifecycle
From strategy through execution, ATTAC brings deep domain expertise, proprietary methodologies, and proven frameworks to every engagement.
Risk Adjustment Strategy & Operations
Design and manage end-to-end Risk Adjustment programs that maximize accuracy, compliance, and revenue integrity. We help health plans build sustainable governance frameworks — from HCC capture to EDS reconciliation — that deliver measurable, audit-proof results.
$1.25M recovered for a Midwestern MA client within 60 days through EDS reconciliation, plus $1M+ in future annual leakage mitigated.
Risk Revenue Turnaround
Optimize the deployment of every revenue lever — supplemental data, coding interventions, EDPS/EDGE/RAPS submission accuracy — to unlock full, accurate capture across your membership. Our custom data trace methodology identifies multi-year revenue impact across ACA and MA platforms.
$600K uncovered opportunity on ACA EDGE Server; $2M+ realized improvement over three years through systematic data trace methodology.
Star Ratings Strategy & Operations
Improve STAR Ratings performance through integrated analytics, operational redesign, and measure-specific interventions aligned with the latest CMS methodologies. We serve plans at every tier — from crisis recovery to sustained 5-Star pursuit — with tailored playbooks, a Stars Data Platform, and executive-ready messaging.
Comprehensive intervention design, Stars Data Platform access, CMS methodology alignment, and proactive bonus preservation strategies for 2026 and beyond.
Revenue & Quality Performance Bundle
A unified model linking Stars measures, supplemental data, and risk coding to drive simultaneous improvement in payment accuracy and quality outcomes. Our integrated oversight approach addresses the full intersection of financial performance and clinical quality — the most powerful lever for MA plan profitability.
50% increase in retro impact with a 4:1 ROI on chart reviews through Retro Targeting Refinement methodology.
Digital Quality Compliance
Achieve NCQA Accreditation and digital quality compliance efficiently with ATTAC's structured advisory support. We guide health plans through HEDIS measure optimization, digital quality reporting requirements, and sustainable compliance infrastructure — reducing audit risk and strengthening quality reputation.
NCQA Accreditation readiness, digital HEDIS compliance, and quality infrastructure build-out for MA, ACA, and Medicaid plans.
Stars Advisory Playbooks
Purpose-Built for Every Plan's Star Journey
ATTAC's complimentary Stars playbooks are designed for specific health plan scenarios — each paired with a strategy session to help your team apply the right approach.
Failure Is Not an Option
For plans in operational crisis or audit exposure. Focuses on rapid stabilization, recovery protocols, and risk containment.
Decode the Code
For plans rebuilding after multiple years under 4 Stars. Identify hidden patterns, fix data integrity gaps, and rebuild execution capability.
The Guardrail Playbook
For 4–4.5 Star plans. Precision, foresight, and control to sustain performance in a volatile CMS environment.
The Momentum Playbook — Formula 1
For 4.5+ Star plans pursuing 5-Star status. Fine-tune strategy, margin, and execution to reach and sustain the highest tier.
Results That Speak for Themselves
Markets We Serve
Expertise Across the Full Payer Landscape
Our advisory capabilities are tailored to the unique regulatory, operational, and financial dynamics of each market.
Medicare Advantage
HCC capture, EDPS/RAPS/EDGE, Star Ratings strategy, and bonus optimization for MA plan profitability.
ACA / Marketplace
EDGE Server analytics, HHS risk adjustment optimization, and multi-year revenue impact identification.
Medicaid
Risk adjustment program design, coding accuracy, and quality compliance for managed Medicaid plans.
ACOs & Value-Based
Risk strategy and quality performance advisory for ACOs and providers in value-based care arrangements.
Ready to Maximize Your Risk & Quality Performance?
Our advisors are ready to assess your current program and identify your highest-impact opportunities — no obligation.