Medicare Advantage with prescription drug coverage (MA-PD) contracts are rated on up to 44 unique quality and performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 32 measures; and stand-alone PDP contracts are rated on up to 15 measures. Each year, CMS conducts a comprehensive review of the measures that make up the Star Ratings, considering the reliability of the measures, clinical recommendations, feedback received from stakeholders, and data issues.
The Centers for Medicare and Medicaid Services have released the 2017 Medicare Advantage Star Ratings in an effort to help guide Medicare beneficiaries in their selection of a MA-PD or Prescription Drug Plans during open enrollment.
Medicare Advantage medical insurance plans and Part D Prescription Drug plans must notify existing and new members of the Centers for Medicare and Medicaid (CMS) Star Ratings that have been assigned to them. While the plans must print the overall Star Rating for the plan, there are actually over forty specific measurements, each with its own rating, that make up the overall scores. For people who want to dive deeper in to the numbers, I’ve provided the CMS spreadsheet of all the ratings for each plan and measurements.