The Centers for Medicare & Medicaid Services (CMS) released the 2025 Star Ratings for Medicare Advantage plans, showing a drop in average plan ratings from 4.07 to 3.92, with 40% of MA-PD plans achieving 4 stars or higher, down from 42% in 2024. CMS expects that achieving high ratings will become even more difficult with upcoming changes, including the removal of the reward factor and introduction of a health equity index by 2026. Read more about ProspHire's SY2025 insights and analysis here: https://lnkd.in/epeh45iK #SY2025 #healthcareconsulting #starratings
ProspHire
Business Consulting and Services
Pittsburgh, PA 4,241 followers
Prosper Together.
About us
ProspHire is a national management consulting firm focused on healthcare advisory, project delivery and strategic resourcing. Founded on the core value of relationships, with the goal to "prosper together," ProspHire partners with clients to identify and solve their most significant people, process and technology challenges. The woman-owned and rapidly growing Pittsburgh-based firm has nearly 100 employees who deliver exceptional service to each one of our clients across the U.S. ProspHire was named to Inc. Magazine’s annual Best Workplaces List in 2023. The Firm has also been named one of Modern Healthcare’s Best Places to Work for four years in a row (2020-2023). ProspHire has been named to Inc. Magazine’s annual list of America’s Fastest Growing Private Companies for three years in a row – the Inc 5000 (2020-2022). Additionally, the Firm made the list for the Pittsburgh Business Times Fastest Growing Companies in the Pittsburgh region for four years in a row (2019 – 2022). That means we have built the trust of our clients through consistent and reliable results over time and have made significant investments in experienced resources to continue to provide high quality, healthcare specific professional services. #StarRatings #MedicareAdvantage #HealthEquity #Medicare #ACA
- Website
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https://bit.ly/3wn6nDq
External link for ProspHire
- Industry
- Business Consulting and Services
- Company size
- 51-200 employees
- Headquarters
- Pittsburgh, PA
- Type
- Privately Held
- Founded
- 2015
- Specialties
- strategy, project delivery , strategic resourcing , healthcare, Clinical Services Optimization, Stars Performance Improvement, Pharmacy Advancement, Business Growth and Expansion, Benefits Optimization , Government Markets Required Documents, Program and Project Management, Vendor Management Office, Process Optimization, Systems Integration and Selection, and Staff Augmentation
Locations
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Primary
216 Blvd of the Allies, The Penthouse
Pittsburgh, PA 15222, US
Employees at ProspHire
Updates
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Today, we join the global movement to raise awareness for #WorldMentalHealthDay. At ProspHire, we believe in supporting mental health every day. Let's continue to prioritize well-being, break stigmas and build a culture of understanding and support. Together, we can make a difference. 💚 #MentalHealthMatters
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Our Prosper Together 'Stories of Impact' campaign continues with Senior Manager, Caitlin Nicklow, MBA. Caitlin helps people prosper through her versatility and ability to learn new skills which helps her better serve and evolve with her clients. #ProsperwithPurpose
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We're excited to announce that ProspHire is hiring for key roles within our Stars Performance Improvement team. If you're passionate about driving quality improvements in healthcare, this is your chance to make an impact! We're looking for talented professionals to fill a Senior Consultant and Manager position. Take the next step in your career and help us transform healthcare with your expertise! Submit your resume today: https://lnkd.in/eJetnBjw #werehiring #healthcareconsulting
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⏰ Time is running out! At ProspHire, our best-in-class Risk Adjustment teams are here to ensure your HHS-RADV audit success. We collaborate seamlessly with your staff and IVA auditor to manage every detail, providing expert advisory services, project management, IVA vendor oversight support and valuable resources to deliver comprehensive and accurate results. If your HHS-RADV Audit is behind target, ProspHire can help accelerate and streamline the work to get back on track. Reach out now—our ability to assist is limited after October 15. Learn more: https://lnkd.in/eiCRjpV6 #riskadjustment #healthcareconsulting
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At ProspHire, we see delivery as strategic execution. While programs and projects have traditional processes and deliverables, we prioritize those with the greatest Return on Investment and Cost Savings for our clients. By aligning our resources to these high-priority initiatives, we ensure our clients receive tangible value from our services. Check out our new Project Delivery service video: https://lnkd.in/dySHDr3a
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Have you ever wondered how healthcare projects come to life? ProspHire's Tim Calhoun dives into the behind-the-scenes of healthcare project delivery. Read more for insights that impact patient care: https://lnkd.in/eYutZWps #HealthcareInnovation #ProjectDelivery #ProspHireInsights
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⭐ We’re hiring! ProspHire is seeking a Human Resources Manager to join our team. If you’re ready to shape company culture, drive talent development and make a real impact, apply today: https://lnkd.in/eC9xSq2N #werehiring #healthcareconsulting #joinourteam
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Transform your ACA health plan with ProspHire! Our latest blog covers key innovations like AI, telehealth and personalized care - all driving better patient outcomes and cost savings. Ready to optimize your ACA plan? Read more and contact us today to stay ahead in healthcare: https://lnkd.in/e-3eCsiA #HealthcareInnovation #ACAPlanDesign #HealthcareConsulting