CMS1 Partners™ — Driving Success Across Our Client Portfolio
Your Quality Performance
Is Your Negotiating Position.
Star Rating Strategy · HEDIS Gap Closure · MA Contract Renegotiation · Value-Based Care Performance
CMS has been explicit: Star Ratings determine plan revenue — and plan revenue determines how aggressively your payer sits across the table from you. The organizations that grasp this distinction do not just perform better clinically. They renegotiate from a position of documented, undeniable leverage.
Total Incremental Revenue — CMS1 Partners Client Portfolio
Generated through Star Rating improvement, MA contract renegotiation, HEDIS gap closure, and value-based care performance optimization across a diverse portfolio of IPAs, multi-specialty groups, and managed care organizations.
Portfolio Snapshot — Key Outcomes Across All Engagements
Star Rating Trajectory — MA Client Portfolio
Three representative MA client trajectories across eight measurement quarters. The 4.0-Star threshold is not just a clinical milestone — it is the inflection point at which contract leverage materially shifts.
Star Rating Trajectory — Three Client Profiles
Q1 2024 → Q4 2025 · Gold = IPA (NYC) · Green = Multi-Specialty (NJ) · Blue = MSO-Managed Group · Dashed = 4.0★ Quality Threshold
HEDIS Quality Measure Performance — Portfolio Average
Across all engaged clients, CMS1 Partners implemented prospective and retrospective HEDIS gap-closure programs, targeting the six highest-weight Star Rating measures. Portfolio-average performance improvement shown below.
HEDIS Measure Improvement — Before vs. After Dumbbell
Muted circle = Prior Performance · Gold circle = Current Performance · Portfolio average across all engaged clients
MA Contract Rate Achievement vs. Medicare FFS Benchmark
Renegotiated Medicare Advantage agreements, armed with documented Star Rating improvement and quality data, drove direct rate improvements. The 100% FFS parity line marks the industry benchmark — we moved clients above it.
Contract Rate Achievement — % of Medicare FFS by Category
Muted bar = Prior rate · Gold extension = Improvement gained · Dashed line = 100% FFS parity benchmark
Value-Based Care Performance — Shared Savings Captured
Five distinct VBC arrangements activated and optimized across the CMS1 Partners portfolio — spanning ACO performance, cardiology co-management, global risk, disease management, and behavioral health integration.
Shared Savings Captured — by VBC Arrangement Type
Gold bars = Savings captured in $M · Each arrangement independently optimized under CMS1 Partners strategic guidance
The CMS1 Partners™ Method — How We Drive These Outcomes
Four integrated workstreams, executed as a unified strategic engagement. Each pillar reinforces the others — because quality performance, contract leverage, risk capture, and care efficiency are not separate conversations.
Regulatory & Compliance Track Record — All Engagements
Portfolio Return on Engagement Investment
Your quality scores are already
a financial instrument.
CMS1 Partners™ helps IPAs, medical groups, and MSOs convert their quality performance into contract leverage — with measurable, documented results and 20+ years of payer-side and provider-side expertise.
Start Driving SuccessNo obligation · U.S. Based & National Reach · IPA · Medical Group · MSO
Quality Success and Revenue is no longer a clinical metric. It’s a financial lever — the gap between organizations that understand that distinction and those that don’t is widening every single contract cycle.
CMS has been explicit.
Star Ratings directly determine plan revenue. And plan revenue determines how aggressively — or how reluctantly — your payer sits across the table from you.
What most medical groups and IPAs have not fully internalized is this: your quality performance is your negotiating position.
Create exceptional partnerships
with our guidance!
CMS1Partners.com
