CMS Star Rating Improvement
UNDERSTANDING the system for CMS STAR RATINGS.
Five-Star Quality Rating
The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system. Health plans are rated on a scale of 1 to 5 stars, with 5 being the highest. The system rewards plans that achieve certain benchmarks for multiple quality measures.
The overall plan rating provides a single summary result that makes it easy for participants and prospective members to compare plans based on quality and performance. Visit the Medicare Plan Finder Tool on www.medicare.gov to learn more about plans and see their ratings.
A Long-Term Approach to Quality.
Improving Your Medicare Star Rating
Reaching Stars Excellence.
Stars Outreach and Action Plans
Navigate the Ratings.
Use Our Chart to Calculate
The Medicare Star System includes 47 quality measures: 33 measures for Part C and 14 measures for Part D. For Medicare Advantage plans with a Part D Prescription drug benefit (MA-PD), two measures are included in both the Part C and Part D. In these instances, only the Part C scores of the two overlap measures count toward the total.
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