Msr. Type |
Code | CMS Id | Weight | Measure | Avg. Score | Avg. Star |
---|---|---|---|---|---|---|
HED | BCS | C01 | 1 | Breast Cancer Screening | 73 | 3.4 |
HED | COL | C02 | 1 | Colorectal Cancer Screening | 73 | 3.4 |
CAH | FLU | C03 | 1 | Annual Flu Vaccine | 69 | 3.2 |
HOS | MPA | C04 | 1 | Monitoring Physical Activity | 50 | 3.1 |
CMS | SNPCM | C05 | 1 | Special Needs Plan (SNP) Care Management | 75 | 3.4 |
HED | COAMR | C06 | 1 | Care for Older Adults - Medication Review | 93 | 4.1 |
HED | COAPS | C07 | 1 | Care for Older Adults - Pain Assessment | 93 | 4.2 |
HED | OMW | C08 | 1 | Osteoporosis Management in Women who had a Fracture | 43 | 2.7 |
HED | CDCEYE | C09 | 1 | Diabetes Care - Eye Exam | 75 | 3.4 |
HED | CDCA1C | C10 | 3 | Diabetes Care - Blood Sugar Controlled | 83 | 3.7 |
HED | CBP | C11 | 3 | Controlling Blood Pressure | 76 | 3 |
HOS | FRM | C12 | 1 | Reducing the Risk of Falling | 57 | 2.6 |
HOS | BLA | C13 | 1 | Improving Bladder Control | 45 | 3 |
HED | MPR | C14 | 1 | Medication Reconciliation Post-Discharge | 73 | 3.6 |
HED | PCR | C15 | 3 | Plan All-Cause Readmission | 11 | 3.1 |
HED | SPC | C16 | 1 | Statin Therapy for Patients with Cardiovascular Disease | 86 | 3 |
HED | TRC | C17 | 1 | Transitions of Care | 59 | 3 |
HED | FMC | C18 | 1 | Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 58 | 3.2 |
CAH | GNC | C19 | 4 | Getting Needed Care | 81 | 3.3 |
CAH | APTQ | C20 | 4 | Getting Appointments and Care Quickly | 84 | 3.5 |
CAH | SVC | C21 | 4 | Customer Service | 90 | 3.5 |
CAH | HCQ | C22 | 4 | Rating of Health Care Quality | 87 | 3.5 |
CAH | RPLA | C23 | 4 | Rating of Health Plan | 87 | 3.2 |
CAH | COORD | C24 | 4 | Care Coordination | 87 | 3.6 |
CMS | CCMPL | C25 | 4 | Complaints about the Health Plan | 0.23 | 4.2 |
CMS | CDSNR | C26 | 4 | Members Choosing to Leave the Plan | 17 | 3.6 |
CMS | CIMPR | C27 | 5 | Health Plan Quality Improvement | - | 3.6 |
CMS | CTIME | C28 | 4 | Plan Makes Timely Decisions about Appeals | 96 | 4.2 |
CMS | CFAIR | C29 | 4 | Reviewing Appeals Decisions | 95 | 3.7 |
CMS | CLANG | C30 | 4 | Call Center - Foreign Language Interpreter and TTY Availability | 94 | 4 |
CMS | DLANG | D01 | 4 | Call Center - Foreign Language Interpreter and TTY Availability | 94 | 4 |
CMS | DCMPL | D02 | 4 | Complaints about the Drug Plan | 0.23 | 4.2 |
CMS | DDSNR | D03 | 4 | Members Choosing to Leave the Plan | 17 | 3.6 |
CMS | DIMPR | D04 | 5 | Drug Plan Quality Improvement | - | 3.2 |
CAH | DRDRG | D05 | 4 | Rating of Drug Plan | 87 | 3.4 |
CAH | GETRX | D06 | 4 | Getting Needed Prescription Drugs | 89 | 3.3 |
CMS | MPF | D07 | 1 | MPF Price Accuracy | 98 | 3.4 |
PQA | DIAB | D08 | 3 | Medication Adherence for Diabetes Medications | 86 | 3.2 |
PQA | HTN | D09 | 3 | Medication Adherence for Hypertension (RAS antagonists) | 89 | 3.3 |
PQA | CHOL | D10 | 3 | Medication Adherence for Cholesterol (Statins) | 88 | 3.3 |
CMS | MTM | D11 | 1 | MTM Program Completion Rate for CMR | 87 | 3.7 |
PQA | SUPD | D12 | 1 | Statin Use in Persons with Diabetes (SUPD) | 86 | 2.8 |
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 |