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Star-Rating System in Health Reform Law to Positively Affect Plans, Consumers

As payment becomes increasingly tied to quality, many plans are likely to focus on improving their star-rating scores.

Avalere Health LLC
Wed, 05/05/2010 - 11:47
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(Avalere Health LLC: Washington) --The majority of people in the Medicare Advantage (MA) program are currently not enrolled in the highest quality plans, despite the existence of the Five Star Quality Rating System that assesses quality for MA plans, according to a new analysis released by Avalere Health.  

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The Five Star Quality Rating System is run by the Centers for Medicare and Medicaid Services (CMS), and was put in place as part of an effort to help educate consumers on quality and make quality data more transparent. Its summary ratings are based on five major domains: Staying healthy via preventive services such as screenings and vaccines; managing chronic conditions; ratings of plan responsiveness and care; complaints, appeals, and voluntary disenrollment; and telephone customer service.  

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Comments

Submitted by zdargaty on Thu, 05/06/2010 - 12:25

The inforamtion doesn't jump out at you.

Go to the website and try to find the information. What link is one supposed to use to see the ratings?

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