MetaStar

Medicare: under the terms of a contract with the centers for medicare and medicaid services (cms), Metastar is a subcontractor to superior health quality alliance for the 12th sow qio activities. There are specific deliverables outlined in the 12th sow that superior health tracks and is evaluated on by cms.

Medicaid: under the terms of a contract with the Wisconsin department of health services, Metastar performed inpatient hospital utilization review and hmo quality assurance review for the title xix medical assistance program.

Long term care: under the terms of a contract with the Wisconsin department of health services (dhs), Metastar performs external quality review activities for Wisconsin family care program and validation of providers' compliance with cms requirements for home and community based services.

Metastar has other program service revenue that includes other grants, performance measurement audits, and some administrative service revenue.majority of Metastar's other grant revenue includes contracts with the state of wi such as;(1) coverdell grant: working to improve the transition of stroke care from ems to the hospital, and advance the quality of acute stroke care. And (2) hrsa rural communities opioid response program (rcorp) - implementation grant; working to decrease opioid deaths in nursing homes and opioid deaths in nursing homes and opioid adverse drug events in high risk populations and use community coalitions to implement pain and opioid use best practices.the performance measurement audits include (1) hedis audits on the quality indicators that are used by hmos (2) data validation audits of health plans as required by cms for medicare part c&d programs, (3) urac audits performed for pharmacies accredited through urac, and risk-adjusted data validation services for commercial health plans. Wi-intuit project - in partnership with the university of wisconsin-madison and the medical college of Wisconsin, the wi-intuit project is a research program funded by the agency for healthcare research and quality (ahrq) to help busy primary care practices screen for and manage urinary incontinence (ui) in female patients. This work involves evaluating the effectiveness of evidence-based education, resources, and support.