| Msr. Type |
Code | CMS Id | Weight | Measure | Avg. Score | Avg. Star |
|---|
| 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 |
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