HEDIS / Stars
Caliber-attributed cohort · 2026 measurement year · projected on 2027 Star Rating
Projected impact on Devoted contract H1234
3.5★ → 3.9★on 2027 Star Rating
A 0.5-star jump triggers a 5% quality bonus payment from CMS. Estimated at $18.4M across the H1234 contract.
QBP-eligible impact
+$18.4M
Behavioral health measures · where Caliber moves the needle
| Measure | Devoted baseline | Caliber cohort | Δ | 5★ threshold | Status |
|---|---|---|---|---|---|
| Follow-up after MH hospitalization (7d) | 42% | 71% | +29 | 65% | 5★ |
| Antidepressant management (acute) | 68% | 84% | +16 | 75% | 5★ |
| Antidepressant management (continuation) | 51% | 69% | +18 | 60% | 5★ |
| Initiation of SUD treatment (IET) | 31% | 48% | +17 | 55% | 4★ |
| Engagement of SUD treatment | 22% | 39% | +17 | 40% | 4★ |
| Diabetes care · HbA1c <8 (comorbid SMI) | 59% | 67% | +8 | 72% | 4★ |
Member experience (CAHPS)
Getting needed care88 · 5★
Care coordination91 · 5★
Health plan rating85 · 5★
Customer service79 · 4★
Improvement targets · Q3 push
Three measures are within striking distance of 5★. Closing them would mean an additional ~0.2 star bump:
- +7ptSUD IETTargeted member outreach campaign already underway
- +5ptHbA1c controlAdd'l pharmacist touchpoints in Q3
- +1ptSUD engagementOn track without additional intervention