Health Affairs August 19, 2019
Katie Keith

On August 15, 2019, the Centers for Medicare and Medicaid Services (CMS) announced that the marketplaces in all states will, for the first time, display quality rating data for most qualified health plans (QHPs). CMS made the announcement in a new bulletin accompanied by a press release, an overview of 2019 quality results, and a fact sheet.

The quality ratings—which reflect clinical quality data and enrollee satisfaction data—use a five-star system and will be displayed for most marketplace plans beginning on November 1, 2019 (for the 2020 open enrollment period). To date, quality rating information was only available through the federal marketplace in five states and through state-based marketplaces (SBMs) in 12 states and DC.

The goal of the quality...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Payment Models, Provider, Public Exchange, States, Value Based
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