Recent Articles

How MetaStar Helps Navigate The HHS RADV with Confidence For health plans participating in the Affordable Care Act Health Insurance Marketplace, U.S. Department of Health and Human Services Risk Adjustment Data Validation (HHS-RADV) reviews are high stakes. Diagnosis data, prescription drug information, enrollment records, and strict requirements from the Centers for Medicare & Medicaid (CMS) all contribute to a...

WiLQAL Brings Tailored Quality Improvement Support to Wisconsin Assisted Living Facilities Wisconsin is home to more than 4,000 assisted living communities (ALCs). These organizations provide care to adults with increased daily needs who do not require nursing home-level skilled nursing care. Despite serving a growing population with increasingly complex needs, many ALCs lack access to quality improvement support and...

MetaStar Looks At Healthcare Transitions Through the Patient Lens The Agency for Healthcare Research and Quality (AHRQ) found that poor healthcare coordination can increase healthcare costs by up to 20%, often due to redundant tests and unnecessary treatments. Disjointed systems can lead to delays in follow-up care, medication errors, and poorer health outcomes. Studies have even...

The year: 1996. The scene: The White House. Then-President Bill Clinton signs into law the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Four years later, the famous daughter of HIPAA was born: the Privacy Rule. Created by the U.S. Department of Health and Human Services (HHS), most healthcare professionals know this rule that outlines...

“We effect positive change in health and healthcare and empower healthcare professionals, community organizations, and healthcare payers to make lasting improvements with a vision of optimal health for all.” This sentence greets visitors to MetaStar’s website. It’s a lofty goal, but one MetaStar takes seriously. They ensure it is at the core of everything they...