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Targeted Measures Slope
Member Experience Impact
Stars Bonus
Competition

Plan Screener

 
 
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Priority Deciles for Filtering and Sorting Contract Details Plan History Star Ratings Financials Based on 2017 Bid and Projected Stars (use with caution) Selected Measures Calculation
Priority Rank
Total of the deciles for selected columns
Targeted Measures Slope
Decile based on this calculation - (1) Use linear regression on the past 4 years of stars results for each measure (2) Take the average for the measures that are configured for your client account.
Member Experience Impact
Decile of the difference between the actual overall 2022 Star Rating and the rating recalculated with Member Experience at 4x instead of 2x.
Stars Bonus
Decile of the difference between the 5% Bonus Benchmark (4 Stars) and the 0% Benchmark (< 4 Stars)
Competition
Decile of the number of plans available (with actual enrolled members) in each county where Plans' members reside.
Member Experience Impact
Decile of the difference between the actual overall 2022 Star Rating and the rating recalculated with Member Experience at 4x instead of 2x.
Competition
Decile of the number of plans available (with actual enrolled members) in each county where Plans' members reside.
Hcontract
Medicare Plan Number
Population
Current Population
Marketing Name
Marketing Name
Parent Organization
Parent Organization/Company
States
States where members are enrolled
Size Category
Category of plan size (1k/10k/50k members)
Age Category
Category of the age of the plan
Special Needs Plan
Special Needs Plan Y/N
Population (2026)
Prior Year Population
Plans Per Member (by county)
** This gets merged wit the decile above ***
Plan First Year
The first year the plan had members
Plan First Rating Year
The first year the plan had a star rating
First Year for Parent Org
First Year for Parent Org
2024-2027 Star Ratings
Last 4 year's star ratings
Star Average 2027
Calculated Star Rating w/out adjustments
Star Average 2026
Calculated Star Rating for 1 Year Ago
Star Average 2025
Calculated Star Rating for 2 Years Ago For Previous Previous year's Star Average : Sum(Avg Star * star_wt) / sum(star_wt)
Star Average 2024
Calculated Star Rating for 3 Years Ago
Stars Bonus
Decile of the difference between the 5% Bonus Benchmark (4 Stars) and the 0% Benchmark (< 4 Stars)
Projected Future Star
Star Rating Calculated from average past measure ratings with future measure weights
2027 Baseline Benchmark
Weighted average CMS county benchmark without bonus
2027 5% Bonus (4-Star) Benchmark
Weighted average CMS county benchmark with 5% bonus
Risk Factor 2017
Plan average HCC from 2017 CMS Data
Rebate 2017
Plan average Rebate from 2017 CMS Data
Profit 2017
Plan average Profit from 2017 CMS Data
Expenses 2017
Plan average Expenses (medical + admin) from 2017 CMS Data
Bonus at Next Star
TBD
Targeted Measures Slope
Decile based on this calculation - (1) Use linear regression on the past 4 years of stars results for each measure (2) Take the average for the measures that are configured for your client account.
Bonus at Next Star PMPY
TBD
Targeted Stars List
List of scores for the selected measures
Targeted Star Avg
Average star rating for selected measures
Targeted Star Variance
Average difference between Plan's rating and the CMS published average rating for selected measures
Star Rating Trend
14 2 4 1 7 1 42.41 H8003 49,294 Blue Cross Blue Shield of South Carolina BlueCross BlueShield of South Carolina BCBSSC SC-100.0% Medium Well Established No 49,294 42.41 2018 2020 2025 3,4,4,43.5 3.54 3.9 3.81 3.87 44.26 tbd 1,223 1,267 tbd tbd tbd tbd 0.324 tbd HED-BCS:4,HED-CDCA1C:4,HED-CDCEYE:3,HED-COL:4,HED-OMW:3,HED-SPC:2 3.5 0.112
plan_screener_reports
plan_screener
Star Rating Trend