Your patients deserve more than a checked box.
Beyond the Box Consulting helps provider practices of all sizes improve Medicare quality performance — HEDIS (Health Effectiveness Data and Information Set), Star ratings, CAHPS (Consumer Assessment of Healthcare Providers and Systems) , HOS (Health Outcome Survey), and PQA (Pharmacy Quality Alliance) — so that better scores reflect better care, not just better paperwork.
Why Practices Struggle
The gap between care delivered and care documented
If patient care is not fully documented, your team doesn't get the credit it deserves. Without clear documentation, payers, regulators, and organizational leaders are unable to see the full picture. That creates three key problems:
Lower performance scores caused by underreported outcomes and quality measures.
Lost revenue and missed incentives because services aren’t coded or billed.
Staff frustration and burnout from important work that goes unrecognized.
Survey season always feels like a surprise
CAHPS and HOS scores can shift unexpectedly, leaving teams puzzled about the causes and unsure what corrective steps to take next.
The rules keep changing
HEDIS measure sets are updated each year, and PQA frequently adds new medications to track. Your staff are focused on caring for patients — not on keeping up with every change in CMS policy — which makes it harder to stay compliant and capture all appropriate credit.
Ready to Go Beyond the Box?
Let’s spend 30 minutes talking about your practice’s HEDIS gaps, STAR performance, or survey results. No pitch — just a real conversation about what’s holding your scores back.
15+ Years in the Room Where Decisions Get Made
Beyond the Box Consulting was founded by Jaime Ortez, a healthcare leader with 15+ years of experience in Medicare Advantage, value-based care, clinic operations, and quality performance. Jaime spent her career inside health plans and provider organizations — she knows how HEDIS is scored, how STAR ratings move, and exactly what small practices need to compete.
Let’s Talk About Your Practice
Tell us about your practice and what you’re working on. We’ll reach out within one business day.