Who created the Medicare Star Quality Ratings?
The Medicare Star Quality Rating System was developed by the Centers for Medicare & Medicaid Services (CMS), the federal agency that administers the Medicare program.† The ratings are updated annually based on ongoing monitoring and analysis.
The Medicare Star Quality Rating System is unique because it’s based on more than 50 measures including clinical performance, customer service, and member satisfaction. CMS uses 5 main sources to measure Medicare plans and compile the ratings:
- The HEDIS® (Health Plan Employer Data and Information Set)
- The Consumer Assessment of Healthcare Providers and Systems (CAHPS) member satisfaction survey
- Surveys of members' health status
- Information from members' complaints and appeals
- Medicare’s own monitoring activities
Why these ratings are so important:
The Medicare Star Quality Ratings are a simple, authoritative starting point and may be the single most important criteria you can use to tackle the challenge of comparing Medicare health plans in your area.
*Plan performance Star Ratings are assessed each year and may change from one year to the next. Centers for Medicare & Medicaid Services Health Plan Management System, Plan Ratings 2013. Kaiser Permanente contract #H0524, H0630, H1170, H1230, H2150, H6360, H9003.
†A branch of the U.S. Department of Health & Human Services.
You must reside in the Kaiser Permanente Senior Advantage (HMO) or Medicare Plus (Cost) service area in which you enroll.
Kaiser Permanente is a health plan with a Medicare contract.
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This page was last updated: January 17, 2013 at 12 a.m. PT
