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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) 51 0 DMC01HEDFollow-up Visit after Hospital Stay for Mental Illness (within 30 days of discharge)HED-FUH
HED CBBT DMC02 0 Continuous Beta Blocker Treatment 72 0 DMC02HEDContinuous Beta Blocker TreatmentHED-CBBT
CAH DCW DMC03 0 Doctors who Communicate Well 93 0 DMC03CAHDoctors who Communicate WellCAH-DCW
CMS CCBHT DMC04 0 Call Center - Beneficiary Hold Time 0.32 0 DMC04CMSCall Center - Beneficiary Hold TimeCMS-C-CBHT
CAH PNU DMC05 0 Pneumonia Vaccine 68 0 DMC05CAHPneumonia VaccineCAH-PNU
HED APCDV DMC06 0 Access to Primary Care Doctor Visits 95 0 DMC06HEDAccess to Primary Care Doctor VisitsHED-APCDV
CMS CCCHP DMC07 0 Call Center - Calls Disconnected When Customer Calls Health Plan 1.01 0 DMC07CMSCall Center - Calls Disconnected When Customer Calls Health PlanCMS-C-CCHP
HED PMSC DMC08 0 Pharmacotherapy Management of COPD Exacerbation - Systemic Corticosteroid 75 0 DMC08HEDPharmacotherapy Management of COPD Exacerbation - Systemic CorticosteroidHED-PMSC
HED PMB DMC09 0 Pharmacotherapy Management of COPD Exacerbation - Bronchodilator 84 0 DMC09HEDPharmacotherapy Management of COPD Exacerbation - BronchodilatorHED-PMB
HED IADT DMC10 0 Initiation of Substance Use Disorder Treatment 35 0 DMC10HEDInitiation of Substance Use Disorder TreatmentHED-IADT
HED EADT DMC11 0 Engagement of Substance Use Disorder Treatment 5 0 DMC11HEDEngagement of Substance Use Disorder TreatmentHED-EADT
HED IESDTA DMC12 0 Initiation and Engagement of Substance Use Disorder Treatment Average 20 0 DMC12HEDInitiation and Engagement of Substance Use Disorder Treatment AverageHED-IESDTA
HED HPPC DMC13 0 Hospitalization for Potentially Preventable Complications 37 0 DMC13HEDHospitalization for Potentially Preventable ComplicationsHED-HPPC
HED TRCMRP DMC14 0 Transitions of Care - Medication Reconciliation Post-Discharge 77 0 DMC14HEDTransitions of Care - Medication Reconciliation Post-DischargeHED-TRCMRP
HED TRCNIA DMC15 0 Transitions of Care - Notification of Inpatient Admission 52 0 DMC15HEDTransitions of Care - Notification of Inpatient AdmissionHED-TRCNIA
HED TRCAID DMC16 0 Transitions of Care - Patient Engagement After Inpatient Discharge 88 0 DMC16HEDTransitions of Care - Patient Engagement After Inpatient DischargeHED-TRCAID
HED TRCRDI DMC17 0 Transitions of Care - Receipt of Discharge Information 34 0 DMC17HEDTransitions of Care - Receipt of Discharge InformationHED-TRCRDI
HOS PFADL DMC18 0 Physical Functioning Activities of Daily Living 94 0 DMC18HOSPhysical Functioning Activities of Daily LivingHOS-PFADL
HED COAFS DMC19 0 Care of Older Adults - Functional Status 84 0 DMC19HEDCare of Older Adults - Functional StatusHED-COAFS
HED CRA DMC20 0 Cardiac Rehabilitation - Achievement 5 0 DMC20HEDCardiac Rehabilitation - AchievementHED-CRA
HED CRE1 DMC21 0 Cardiac Rehabilitation - Engagement 1 11 0 DMC21HEDCardiac Rehabilitation - Engagement 1HED-CRE1
HED CRE2 DMC22 0 Cardiac Rehabilitation - Engagement 2 10 0 DMC22HEDCardiac Rehabilitation - Engagement 2HED-CRE2
HED CRI DMC23 0 Cardiac Rehabilitation - Initiation 8 0 DMC23HEDCardiac Rehabilitation - InitiationHED-CRI
HED COL DMC24 0 Colorectal Cancer Screening (Age 45-75) 70 0 DMC24HEDColorectal Cancer Screening (Age 45-75)HED-COL
HED AISI DMC25 0 Adult Immunization Status - Influenza 39 0 DMC25HEDAdult Immunization Status - InfluenzaHED-AISI
HED AISP DMC26 0 Adult Immunization Status - Pneumococcal 52 0 DMC26HEDAdult Immunization Status - PneumococcalHED-AISP
HED AIST DMC27 0 Adult Immunization Status - Td/Tdap 32 0 DMC27HEDAdult Immunization Status - Td/TdapHED-AIST
HED AISZ DMC28 0 Adult Immunization Status - Zoster 22 0 DMC28HEDAdult Immunization Status - ZosterHED-AISZ
HED AISA DMC29 0 Adult Immunization Status - Average 36 0 DMC29HEDAdult Immunization Status - AverageHED-AISA
HED DSFDS DMC30 0 Depression Screening and Follow-Up - Depression Screening 16 0 DMC30HEDDepression Screening and Follow-Up - Depression ScreeningHED-DSFDS
HED DSFA DMC31 0 Depression Screening and Follow-Up - Follow-Up on Positive Screen 69 0 DMC31HEDDepression Screening and Follow-Up - Follow-Up on Positive ScreenHED-DSFA
HED DSFPS DMC32 0 Depression Screening and Follow-Up - Average 47 0 DMC32HEDDepression Screening and Follow-Up - AverageHED-DSFPS
CMS CDCCHP DMD01 0 Call Center - Calls Disconnected When Customer Calls Drug Plan 0.88 0 DMD01CMSCall Center - Calls Disconnected When Customer Calls Drug PlanCMS-CDCCHP
CMS DCBHT DMD02 0 Call Center - Beneficiary Hold Time 0.3 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 0.2 0 DMD04CMSCall Center - Pharmacy Hold TimeCMS-D-HOLD
CMS PSHPD DMD05 0 Plan Submitted Higher Prices for Display on MPF 57 0 DMD05CMSPlan Submitted Higher Prices for Display on MPFCMS-PSHPD
CAH RFP DMD06 0 Reminders to Fill Prescriptions 55 0 DMD06CAHReminders to Fill PrescriptionsCAH-RFP
CAH RTM DMD07 0 Reminders to Take Medications 35 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) 13 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) 5 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) 0.29 0 DMD12PQAUse of Opioids from Multiple Providers in Persons Without Cancer (OMP)PQA-OMP
PQA POLYACH DMD13 0 Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) 9 0 DMD13PQAPolypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)PQA-POLYACH
PQA POLYCNS DMD14 0 Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS) 13 0 DMD14PQAPolypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS)PQA-POLYCNS
PQA IOP DMD15 0 Initial Opioid Prescribing (IOP-LD) 17 0 DMD15PQAInitial Opioid Prescribing (IOP-LD)PQA-IOP
PST INS DMD16 0 Persistence to Basal Insulin (PST-INS) 70 0 DMD16PSTPersistence to Basal Insulin (PST-INS)PST-INS
PQA DIAB DMD17 0 Medication Adherence for Diabetes Medications with Risk Adjustment (RA) 87 0 DMD17PQAMedication Adherence for Diabetes Medications with Risk Adjustment (RA)PQA-DIAB
PQA HTN DMD18 0 Medication Adherence for Hypertension (RAS antagonists) with Risk Adjustment(RA) (ADH-RAS RA) 90 0 DMD18PQAMedication Adherence for Hypertension (RAS antagonists) with Risk Adjustment(RA) (ADH-RAS RA)PQA-HTN
PQA CHOL DMD19 0 Medication Adherence for Cholesterol (Statins) with Risk Adjustment (RA) (ADH-Statins RA) 88 0 DMD19PQAMedication Adherence for Cholesterol (Statins) with Risk Adjustment (RA) (ADH-Statins RA)PQA-CHOL
DR R DME01 0 Grievance Rate 7.21 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) 15 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) 19 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) 8 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) 11 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 94 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