We combine an AI-augmented dataset with advanced algorithms that control for patient complexity in order to identify the highest performing providers for each procedure and condition
Build new networks, optimize your existing network, or refer members to more relevant providers without changing your network
Tier or find providers to add to your network by assessing specialist and PCP performance based on their complete Medicare and Medicaid panel
Prioritize providers or members for intervention by benchmarking against the quality metrics and population health outcomes of competitors
Inform growth efforts by analyzing utilization per patient segment and visualizing volume flows within providers and payers in new markets
Use the complete nationwide Medicare and Medicaid claims dataset to understand which providers drive the best health outcomes for each patient phenotype, then connect with them using automation-assisted workflows
View provider performance scores and raw outcome data for each patient phenotype and quality or utilization measure combination. See how providers compare to peers in your network or against broader market benchmarks.
Create provider performance scorecards with evidence-based recommendations for each provider. Execute network builds or provider engagement campaigns using built-in workflow automation tools.
Automatically surface statistical outliers and performance variations. Drill down to reveal underlying data patterns and contributing factors behind highlighted providers, with detailed views into patient phenotypes and utilization.
Explore how patients move through your network and the broader care ecosystem. Heat maps, journeys charts, and network diagrams reveal referral volumes, patient outcomes, and care coordination patterns.
See how leading health plans, provider groups, and risk-bearing entities are achieving measurable results
Prospective randomized controlled trial with a payer, >100K members matched to providers over 6 months
Retrospective study quantifying impact of optimal PCP empanelment, based on 15M patient-year observations in VA primary care over 16 years
From patient-provider matching or a Stellation-informed high performing network focusing on just 1-2 high-impact specialties
"In over 30 years of working with health plans and VBC providers to improve care outcomes and reduce costs, I have not seen as large a step forward in supportive analytics as the Stellation Care algorithms. The ability to match which providers can deliver better outcomes and lower costs for a specific patient type is a key lever that can be applied to network design, utilization management, and provider engagement – resulting in double digit costs savings with minimal implementation time and costs."
"Stellation can add tremendous value to provider organizations across the spectrum of value-based care. Stellation achieves this by helping prospectively assess how providers are expected to perform in alternative payment models from both a cost effectiveness and quality perspective. This data can then be used to understand 1) with which groups to build deeper partnerships for specialty referrals, 2) where to invest resources in supporting clinicians, 3) which high performing providers to promote as peer coaches, and 4) how to negotiate value-based contracts, and more."
