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CMS is Bringing Health Plan Quality Ratings to All Exchanges for the First Time

Posted on Monday, August 19, 2019 3:27 AM

CMS announced this week that starting with the 2020 open enrollment, all health plans on Health Care Exchanges must display the five-star Quality Rating System.  This step will allow consumers to be able to compare healthcare coverage for themselves and their families by being able to see their rating.

 “As part of the Trump Administration’s broader quality initiative, I am pleased to announce that we are expanding display of star ratings to the Exchanges,” said CMS Administrator Seema Verma.  “Knowledge is power, and for the first time, consumers will have access to meaningful, simple-to-use information to compare the quality, along with the price, of health plans on Exchange websites, including HealthCare.gov. This addresses our strongly held commitment to equip consumers with the tools they need to find the best choice possible. Increasing transparency and competition drive better quality and cost, with consumers benefitting the most.”

The star rating is based on a scale of 1 to 5 stars, with 5 stars being the highest quality.  The rating is based on a combination of Medical Care, Member Experience and Plan Administration. 

Source: CMS


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