Msr. 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) | 49 | 0 |
HED | AMM | DMC02 | 0 | Antidepressant Medication Management (6 months) | 66 | 0 |
HED | CBBT | DMC03 | 0 | Continuous Beta Blocker Treatment | 89 | 0 |
HED | TCCOPD | DMC04 | 0 | Testing to Confirm Chronic Obstructive Pulmonary Disease | 27 | 0 |
CAH | DCW | DMC05 | 0 | Doctors who Communicate Well | 92 | 0 |
CMS | CCBHT | DMC06 | 0 | Call Center - Beneficiary Hold Time | 45 | 0 |
CAH | PV | DMC07 | 0 | Pneumonia Vaccine | 68 | 0 |
HED | APCDV | DMC08 | 0 | Access to Primary Care Doctor Visits | 94 | 0 |
CMS | CDCCHP | DMC09 | 0 | Call Center - Calls Disconnected When Customer Calls Health Plan | 2 | 0 |
HED | PMSC | DMC10 | 0 | Pharmacotherapy Management of COPD Exacerbation - Systemic Corticosteroid | 75 | 0 |
HED | PMB | DMC11 | 0 | Pharmacotherapy Management of COPD Exacerbation - Bronchodilator | 84 | 0 |
HED | IADT | DMC12 | 0 | Initiation of Substance Use Disorder Treatment | 36 | 0 |
HED | EADT | DMC13 | 0 | Engagement of Substance Use Disorder Treatment | 5 | 0 |
HED | IESDTA | DMC14 | 0 | Initiation and Engagement of Substance Use Disorder Treatment Average | 20 | 0 |
HED | HPPC | DMC15 | 0 | Hospitalization for Potentially Preventable Complications | 16 | 0 |
HED | TRCMRP | DMC16 | 0 | Transitions of Care - Medication Reconciliation Post-Discharge | 64 | 0 |
HED | TRCNIA | DMC17 | 0 | Transitions of Care - Notification of Inpatient Admission | 32 | 0 |
HED | TRCAID | DMC18 | 0 | Transitions of Care - Patient Engagement After Inpatient Discharge | 83 | 0 |
HED | TRCRDI | DMC19 | 0 | Transitions of Care - Receipt of Discharge Information | 23 | 0 |
HOS | PFADL | DMC20 | 0 | Physical Functioning Activities of Daily Living | 94 | 0 |
HED | COAFS | DMC21 | 0 | Care for Older Adults - Functional Status | 76 | 0 |
HED | KHEPD | DMC22 | 0 | Kidney Health Evaluation for Patients With Diabetes | 46 | 0 |
HOS | PHL | DMC23 | 0 | Improving or Maintaining Physical Health2 | 68 | 0 |
HOS | MHL | DMC24 | 0 | Improving or Maintaining Mental Health2 | 83 | 0 |
HED | CRA | DMC25 | 0 | Cardiac Rehabilitation - Achievement | 4 | 0 |
HED | CRE1 | DMC26 | 0 | Cardiac Rehabilitation - Engagement 1 | 10 | 0 |
HED | CRE2 | DMC27 | 0 | Cardiac Rehabilitation - Engagement 2 | 9 | 0 |
HED | CRI | DMC28 | 0 | Cardiac Rehabilitation - Initiation | 8 | 0 |
DM | EDCOL | DMC29 | 0 | Colorectal Cancer Screening (Age 45-75) | 69 | 0 |
CMS | CCDP | DMD01 | 0 | Call Center - Calls Disconnected When Customer Calls Drug Plan | 2 | 0 |
CMS | BHT | DMD02 | 0 | Call Center - Beneficiary Hold Time | 42 | 0 |
CMS | MPFS | DMD03 | 0 | MPF - Stability | 100 | 0 |
CMS | CCPHT | DMD04 | 0 | Call Center - Pharmacy Hold Time | 33 | 0 |
CMS | PSHPD | DMD05 | 0 | Plan Submitted Higher Prices for Display on MPF | 74 | 0 |
CAH | RFP | DMD06 | 0 | Reminders to Fill Prescriptions | 54 | 0 |
CAH | RTM | DMD07 | 0 | Reminders to Take Medications | 33 | 0 |
PQA | APD | DMD08 | 0 | Antipsychotic Use in Persons with Dementia (APD) | 10 | 0 |
PQA | APDLTN | DMD09 | 0 | Antipsychotic Use in Persons with Dementia - for Long-Term Nursing Home Residents (APD- LTNH) | 10 | 0 |
PQA | COB | DMD10 | 0 | Concurrent Use of Opioids and Benzodiazepines (COB) | 15 | 0 |
PQA | OHD | DMD11 | 0 | Use of Opioids at High Dosage in Persons Without Cancer (OHD) | 6 | 0 |
PQA | OMP | DMD12 | 0 | Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) | - | 0 |
PQA | PMAMOA | DMD13 | 0 | Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) | 9 | 0 |
PQA | MAMOA | DMD14 | 0 | Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS) | 13 | 0 |
PQA | IOP | DMD15 | 0 | Initial Opioid Prescribing (IOP-LD) | 17 | 0 |
PST | INS | DMD16 | 0 | Persistence to Basal Insulin (PST-INS) | 69 | 0 |
DR | R | DME01 | 0 | Grievance Rate | 7 | 0 |
DR | GP | DME02 | 0 | Disenrollment Reasons - Problems Getting the Plan to Provide and Pay for Needed Care (MA-PD MA-only) | 17 | 0 |
DR | CD | DME03 | 0 | Disenrollment Reasons - Problems with Coverage of Doctors and Hospitals (MA-PD MA-only) | 22 | 0 |
DR | RD | DME04 | 0 | Disenrollment Reasons - Financial Reasons for Disenrollment (MA-PD MA-only PDP) | 21 | 0 |
DR | DBC | DME05 | 0 | Disenrollment Reasons - Problems with Prescription Drug Benefits and Coverage (MA-PD PDP) | 10 | 0 |
DR | GIHP | DME06 | 0 | Disenrollment Reasons - Problems Getting Information and Help from the Plan (MA-PD PDP) | 13 | 0 |
DR | APP | DME07 | 0 | Beneficiary Access and Performance Problems | 86 | 0 |
Name | URL |
---|---|
Part C & D performance data ® | https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin/performancedata.html |
HEDIS ® | http://www.ncqa.org/hedis-quality-measurement/hedis-measures |
2019 Final Rule | https://www.federalregister.gov/d/2019-06822/p-964 |
CY 2022 MA Announcement | https://www.cms.gov/files/document/2022-announcement.pdf |
2024 MA Final Rule | https://www.federalregister.gov/d/2023-07115/p-1427 |
2022 Final Rule | https://www.federalregister.gov/d/2021-00538/p-690 |
2025 MA Final rule | https://www.federalregister.gov/documents/2024/04/23/2024-07105/medicare-program-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit |