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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) 46 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) 66 0 DMC02HEDAntidepressant Medication Management (6 months)HED-AMM
HED CBBT DMC03 0 Continuous Beta Blocker Treatment 88 0 DMC03HEDContinuous Beta Blocker TreatmentHED-CBBT
HED TCCOPD DMC04 0 Testing to Confirm Chronic Obstructive Pulmonary Disease 27 0 DMC04HEDTesting to Confirm Chronic Obstructive Pulmonary DiseaseHED-TCCOPD
CAH DCW DMC05 0 Doctors who Communicate Well 92 0 DMC05CAHDoctors who Communicate WellCAH-DCW
CMS CCBHT DMC06 0 Call Center Beneficiary Hold Time 92 0 DMC06CMSCall Center Beneficiary Hold TimeCMS-CCBHT
CAH PV DMC07 0 Pneumonia Vaccine 69 0 DMC07CAHPneumonia VaccineCAH-PV
HED APCDV DMC08 0 Access to Primary Care Doctor Visits 95 0 DMC08HEDAccess to Primary Care Doctor VisitsHED-APCDV
CMS CDCCHP DMC09 0 Call Center Calls Disconnected When Customer Calls Health Plan 2 0 DMC09CMSCall Center Calls Disconnected When Customer Calls Health PlanCMS-CDCCHP
HED PMSC DMC10 0 Pharmacotherapy Management of COPD Exacerbation Systemic Corticosteroid 73 0 DMC10HEDPharmacotherapy Management of COPD Exacerbation Systemic CorticosteroidHED-PMSC
HED PMB DMC11 0 Pharmacotherapy Management of COPD Exacerbation Bronchodilator 83 0 DMC11HEDPharmacotherapy Management of COPD Exacerbation BronchodilatorHED-PMB
HED IADT DMC12 0 Initiation of Alcohol or other Drug Treatment 34 0 DMC12HEDInitiation of Alcohol or other Drug TreatmentHED-IADT
HED EADT DMC13 0 Engagement of Alcohol or other Drug Treatment 5 0 DMC13HEDEngagement of Alcohol or other Drug TreatmentHED-EADT
HED HPPC DMC14 0 Hospitalization for Potentially Preventable Complications 17 0 DMC14HEDHospitalization for Potentially Preventable ComplicationsHED-HPPC
HED FEDVP DMC15 0 Follow-up after Emergency Department Visit for Patients with Multiple Chronic Conditions 57 0 DMC15HEDFollow-up after Emergency Department Visit for Patients with Multiple Chronic ConditionsHED-FEDVP
HED TRCMRP DMC16 0 Transitions of Care Medication Reconciliation Post-Discharge 65 0 DMC16HEDTransitions of Care Medication Reconciliation Post-DischargeHED-TRCMRP
HED TRCNIA DMC17 0 Transitions of Care Notification of Inpatient Admission 24 0 DMC17HEDTransitions of Care Notification of Inpatient AdmissionHED-TRCNIA
HED TRCAID DMC18 0 Transitions of Care Patient Engagement After Inpatient Discharge 82 0 DMC18HEDTransitions of Care Patient Engagement After Inpatient DischargeHED-TRCAID
HED TRCRDI DMC19 0 Transitions of Care Receipt of Discharge Information 18 0 DMC19HEDTransitions of Care Receipt of Discharge InformationHED-TRCRDI
HED TRCA DMC20 0 Transitions of Care Average 46 0 DMC20HEDTransitions of Care AverageHED-TRCA
HED PCR18 DMC21 0 Plan All-Cause Readmissions (18+) 12 0 DMC21HEDPlan All-Cause Readmissions (18+)HED-PCR18
HED PCR64 DMC22 0 Plan All-Cause Readmissions (18-64) 12 0 DMC22HEDPlan All-Cause Readmissions (18-64)HED-PCR64
HED PCR65 DMC23 0 Plan All-Cause Readmissions (65+) 12 0 DMC23HEDPlan All-Cause Readmissions (65+)HED-PCR65
HOS PFADL DMC24 0 Physical Functioning Activities of Daily Living 94 0 DMC24HOSPhysical Functioning Activities of Daily LivingHOS-PFADL
HED COAFS DMC25 0 Care of Older Adults Functional Status 78 0 DMC25HEDCare of Older Adults Functional StatusHED-COAFS
HED KHEPD DMC26 0 Kidney Health Evaluation for Patients With Diabetes 43 0 DMC26HEDKidney Health Evaluation for Patients With DiabetesHED-KHEPD
HOS PHL DMC27 0 Improving or Maintaining Physical Health2 67 0 DMC27HOSImproving or Maintaining Physical Health2HOS-PHL
HOS MHL DMC28 0 Improving or Maintaining Mental Health2 81 0 DMC28HOSImproving or Maintaining Mental Health2HOS-MHL
HED CRA DMC29 0 Cardiac Rehabilitation - Achievement 3 0 DMC29HEDCardiac Rehabilitation - AchievementHED-CRA
HED CRE1 DMC30 0 Cardiac Rehabilitation - Engagement 1 7 0 DMC30HEDCardiac Rehabilitation - Engagement 1HED-CRE1
HED CRE2 DMC31 0 Cardiac Rehabilitation - Engagement 2 6 0 DMC31HEDCardiac Rehabilitation - Engagement 2HED-CRE2
HED CRI DMC32 0 Cardiac Rehabilitation - Initiation 5 0 DMC32HEDCardiac Rehabilitation - InitiationHED-CRI
CMS CDCCDH DMD01 0 Call Center Calls Disconnected When Customer Calls Drug Plan 144 0 DMD01CMSCall Center Calls Disconnected When Customer Calls Drug PlanCMS-CDCCDH
CMS DCBHT DMD02 0 Call Center Beneficiary Hold Time - 0 DMD02CMSCall Center Beneficiary Hold TimeCMS-D-CBHT
CMS MPFS DMD03 0 MPF Stability 100 0 DMD03CMSMPF StabilityCMS-MPFS
CMS CCPHT DMD04 0 Call Center Pharmacy Hold Time 26 0 DMD04CMSCall Center Pharmacy Hold TimeCMS-CCPHT
CMS PSHPD DMD05 0 Plan Submitted Higher Prices for Display on MPF 73 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 32 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) 8 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) 931 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 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) 9 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) 14 0 DMD14PQAPolypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS)PQA-MAMOA
PQA IOP DMD15 0 Initial Opioid Prescribing (IOP-LD) 17 0 DMD15PQAInitial Opioid Prescribing (IOP-LD)PQA-IOP

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