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Type		 Code CMS Id Weight Measure Avg. Score Avg. Star
HED FUH DMC01 0 Follow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge) 50 0 DMC01HEDFollow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge)HED-FUH
HED AMM DMC02 0 Antidepressant Medication Management (6 months) 64 0 DMC02HEDAntidepressant Medication Management (6 months)HED-AMM
HED CBBT DMC03 0 Continuous Beta Blocker Treatment 89 0 DMC03HEDContinuous Beta Blocker TreatmentHED-CBBT
HED OTO DMC04 0 Osteoporosis Testing 74 0 DMC04HEDOsteoporosis TestingHED-OTO
HED TCCOPD DMC05 0 Testing to Confirm Chronic Obstructive Pulmonary Disease 30 0 DMC05HEDTesting to Confirm Chronic Obstructive Pulmonary DiseaseHED-TCCOPD
CAH DCW DMC06 0 Doctors who Communicate Well 92 0 DMC06CAHDoctors who Communicate WellCAH-DCW
CMS CCBHT DMC07 0 Call Center - Beneficiary Hold Time 0.36 0 DMC07CMSCall Center - Beneficiary Hold TimeCMS-C-CBHT
CAH PNU DMC08 0 Pneumonia Vaccine 69 0 DMC08CAHPneumonia VaccineCAH-PNU
HED APCDV DMC09 0 Access to Primary Care Doctor Visits 94 0 DMC09HEDAccess to Primary Care Doctor VisitsHED-APCDV
CMS CCCHP DMC10 0 Call Center - Calls Disconnected When Customer Calls Health Plan 2.32 0 DMC10CMSCall Center - Calls Disconnected When Customer Calls Health PlanCMS-C-CCHP
HED PMSC DMC11 0 Pharmacotherapy Management of COPD Exacerbation - Systemic Corticosteroid 73 0 DMC11HEDPharmacotherapy Management of COPD Exacerbation - Systemic CorticosteroidHED-PMSC
HED PMB DMC12 0 Pharmacotherapy Management of COPD Exacerbation - Bronchodilator 82 0 DMC12HEDPharmacotherapy Management of COPD Exacerbation - BronchodilatorHED-PMB
HED IADT DMC13 0 Initiation of Substance Use Disorder Treatment 33 0 DMC13HEDInitiation of Substance Use Disorder TreatmentHED-IADT
HED EADT DMC14 0 Engagement of Substance Use Disorder Treatment 5 0 DMC14HEDEngagement of Substance Use Disorder TreatmentHED-EADT
HED HPPC DMC15 0 Hospitalization for Potentially Preventable Complications 16 0 DMC15HEDHospitalization for Potentially Preventable ComplicationsHED-HPPC
HED CBP DMC16 0 Controlling High Blood Pressure 63 0 DMC16HEDControlling High Blood PressureHED-CBP
HED FEDVP DMC17 0 Follow-up after Emergency Department Visit for Patients with Multiple Chronic Conditions 58 0 DMC17HEDFollow-up after Emergency Department Visit for Patients with Multiple Chronic ConditionsHED-FEDVP
HED TRCMRP DMC18 0 Transitions of Care - Medication Reconciliation Post-Discharge 64 0 DMC18HEDTransitions of Care - Medication Reconciliation Post-DischargeHED-TRCMRP
HED TRCNIA DMC19 0 Transitions of Care - Notification of Inpatient Admission 22 0 DMC19HEDTransitions of Care - Notification of Inpatient AdmissionHED-TRCNIA
HED TRCAID DMC20 0 Transitions of Care - Patient Engagement After Inpatient Discharge 82 0 DMC20HEDTransitions of Care - Patient Engagement After Inpatient DischargeHED-TRCAID
HED TRCRDI DMC21 0 Transitions of Care - Receipt of Discharge Information 17 0 DMC21HEDTransitions of Care - Receipt of Discharge InformationHED-TRCRDI
HED TRCA DMC22 0 Transitions of Care - Average 46 0 DMC22HEDTransitions of Care - AverageHED-TRCA
HED PCR18 DMC23 0 Plan All-Cause Readmissions (18+) 12 0 DMC23HEDPlan All-Cause Readmissions (18+)HED-PCR18
HED PCR64 DMC24 0 Plan All-Cause Readmissions (18-64) 12 0 DMC24HEDPlan All-Cause Readmissions (18-64)HED-PCR64
HED PCR65 DMC25 0 Plan All-Cause Readmissions (65+) 12 0 DMC25HEDPlan All-Cause Readmissions (65+)HED-PCR65
HOS PFADL DMC26 0 Physical Functioning Activities of Daily Living 94 0 DMC26HOSPhysical Functioning Activities of Daily LivingHOS-PFADL
HED COAFS DMC27 0 Care for Older Adults - Functional Status 78 0 DMC27HEDCare for Older Adults - Functional StatusHED-COAFS
HED KHEPD DMC28 0 Kidney Health Evaluation for Patients With Diabetes 40 0 DMC28HEDKidney Health Evaluation for Patients With DiabetesHED-KHEPD
HOS PHL DMC29 0 Improving or Maintaining Physical Health2 68 0 DMC29HOSImproving or Maintaining Physical Health2HOS-PHL
HOS MHL DMC30 0 Improving or Maintaining Mental Health2 80 0 DMC30HOSImproving or Maintaining Mental Health2HOS-MHL
CMS CDCCHP DMD01 0 Call Center - Calls Disconnected When Customer Calls Drug Plan 2.3 0 DMD01CMSCall Center - Calls Disconnected When Customer Calls Drug PlanCMS-CDCCHP
CMS DCBHT DMD02 0 Call Center - Beneficiary Hold Time 0.35 0 DMD02CMSCall Center - Beneficiary Hold TimeCMS-D-CBHT
CMS MPFS DMD03 0 MPF - Stability 100 0 DMD03CMSMPF - StabilityCMS-MPFS
CMS DHOLD DMD04 0 Call Center - Pharmacy Hold Time 0.26 0 DMD04CMSCall Center - Pharmacy Hold TimeCMS-D-HOLD
CMS PSHPD DMD05 0 Plan Submitted Higher Prices for Display on MPF 76 0 DMD05CMSPlan Submitted Higher Prices for Display on MPFCMS-PSHPD
CAH RFP DMD06 0 Reminders to Fill Prescriptions 54 0 DMD06CAHReminders to Fill PrescriptionsCAH-RFP
CAH RTM DMD07 0 Reminders to Take Medications 33 0 DMD07CAHReminders to Take MedicationsCAH-RTM
PQA APD DMD08 0 Antipsychotic Use in Persons with Dementia (APD) 8 0 DMD08PQAAntipsychotic Use in Persons with Dementia (APD)PQA-APD
PQA APDLTN DMD09 0 Antipsychotic Use in Persons with Dementia - for Long-Term Nursing Home Residents (APD- LTNH) 7 0 DMD09PQAAntipsychotic Use in Persons with Dementia - for Long-Term Nursing Home Residents (APD- LTNH)PQA-APDLTN
PQA COB DMD10 0 Concurrent Use of Opioids and Benzodiazepines (COB) 16.49 0 DMD10PQAConcurrent Use of Opioids and Benzodiazepines (COB)PQA-COB
PQA OHD DMD11 0 Use of Opioids at High Dosage in Persons Without Cancer (OHD) 7 0 DMD11PQAUse of Opioids at High Dosage in Persons Without Cancer (OHD)PQA-OHD
PQA OMP DMD12 0 Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) 0.45 0 DMD12PQAUse of Opioids from Multiple Providers in Persons Without Cancer (OMP)PQA-OMP
PQA PMAMOA DMD13 0 Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) 8.7 0 DMD13PQAPolypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)PQA-PMAMOA
PQA MAMOA DMD14 0 Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS) 6.5 0 DMD14PQAPolypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS)PQA-MAMOA
DR R DME01 0 Grievance Rate 5.56 0 DME01DR-Grievance RateDR-GR
DR GP DME02 0 Disenrollment Reasons - Problems Getting the Plan to Provide and Pay for Needed Care (MA-PD MA-only) 17 0 DME02DR-Disenrollment Reasons - Problems Getting the Plan to Provide and Pay for Needed Care (MA-PD MA-only)DR-PGP
DR CD DME03 0 Disenrollment Reasons - Problems with Coverage of Doctors and Hospitals (MA-PD MA-only) 23 0 DME03DR-Disenrollment Reasons - Problems with Coverage of Doctors and Hospitals (MA-PD MA-only)DR-PCD
DR RD DME04 0 Disenrollment Reasons - Financial Reasons for Disenrollment (MA-PD MA-only PDP) 24 0 DME04DR-Disenrollment Reasons - Financial Reasons for Disenrollment (MA-PD MA-only PDP)DR-FRD
DR DBC DME05 0 Disenrollment Reasons - Problems with Prescription Drug Benefits and Coverage (MA-PD PDP) 10 0 DME05DR-Disenrollment Reasons - Problems with Prescription Drug Benefits and Coverage (MA-PD PDP)DR-PDBC
DR GIHP DME06 0 Disenrollment Reasons - Problems Getting Information and Help from the Plan (MA-PD PDP) 13 0 DME06DR-Disenrollment Reasons - Problems Getting Information and Help from the Plan (MA-PD PDP)DR-PGIHP
CMS DBAPP DME07 0 Beneficiary Access and Performance Problems 96 0 DME07CMSBeneficiary Access and Performance ProblemsCMS-D-BAPP

MY 2023 Stars Changes

  • Plan All-Cause Readmissions to 3x1,2

MY 2024 Stars Changes

  Program changes

  • 2027 Health Equity Index performance capture starts3

  Weight changes

  • CAHPS measures to 2x (Patient experience, complaints, and access measures)3

 New Measures:3

  • Improving/Maintaining Physical Health (1x)
  • Improving/Maintaining Mental Health (1x)
  • Kidney Health for Patients with Diabetes (1x)

MY 2025 Stars Changes

 Program changes

  • Health Equity Index introduced; RF replaced3

 Weight Changes

  • Improving/Maintaining Physical Health increases to 3x4
  • Improving/Maintaining Mental Health increases to 3x4

 New Measures:5

  • Care for Older Adults—Functional Status Assessment (1x)
  • Concurrent Use of Opioids and Benzodiazepines (COB) (1x)
  • Polypharmacy Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (1x)

 Retired Measures:5

  • Care for Older Adults – Pain Assessment
  • Medication Reconciliation Post-discharge (MRP)
  • MTM Program Completion Rate for Comprehensive Medication Review (CMR) – Retired to display