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CMS Releases 2019 Medicare Advantage and Part D Prescription Drug Quality Program Star Ratings

October 16, 2018

McDermott+Consulting

The Centers for Medicare and Medicaid Services (CMS) released Part C and Part D Star Ratings that provide information about the quality of plan choices.  Medicare Advantage plans with prescription drug coverage (MA-PD) are rated on up to 46 quality and performance measures; MA only contracts are rated on up to 34 measures; standalone drug contracts are rated on up to 14 measures.  Approximately 45 percent of MA-PDs that will be offered in 2019 earned 4 or more stars (out of 5).  Nearly 74 percent of MA-PD enrollees are currently in contracts with 4 or more stars in 2019.  Approximately 31 percent of prescription drug plans that will be active in 2019 received 4 or more stars in their 2019 rating.  Nearly 3.5 percent of enrollees in standalone drug plans are in contracts with 4 or more stars.  Most enrollees in standalone drug plans are in 3.5 star contracts.

The CMS press release is available here.

The CMS fact sheet is available here.

The CMS data files are available here.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462, mmcdermott@mcdermottplus.com.

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