2019 Star Ratings Fact Sheet - CMS
Fact Sheet - 2020 Part C and D Star RatingsNote: The information included in this Fact Sheet is based on the 2020 Star Ratings published on the MedicarePlan Finder on October 9, 2019. For details on the Medicare Advantage (MA) and Part D Star Ratings, pleaserefer to the 2020 Part C & D Star Ratings Technical Notes available at nThe Centers for Medicare & Medicaid Services (CMS) publishes the Medicare Part C and D Star Ratings eachyear to measure the quality of health and drug services received by beneficiaries enrolled in MedicareAdvantage (MA) and Prescription Drug Plans (PDPs or Part D plans). The Star Ratings also reflect theexperiences of beneficiaries and assist beneficiaries in finding the best plan for them. The Star Ratings supportCMS’s efforts to put the patient first in all of our programs. As part of this effort, patients should be empoweredto work with their health care providers to make health care decisions that are best for them. An importantcomponent of this effort is to provide Medicare beneficiaries and their family members with meaningfulinformation about quality and cost to assist them in being informed and active health care consumers.Highlights of Contract Performance in 2020 Star Ratings1Medicare Advantage with prescription drug coverage (MA-PD) contracts are rated on up to 45 unique qualityand performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 33measures; and stand-alone PDP contracts are rated on up to 14 measures. Each year, CMS conducts acomprehensive review of the measures that make up the Star Ratings by assessing the reliability of the data,clinical recommendations, and feedback received from stakeholders. There are no new measures introduced for2020 Star Ratings. CMS expanded the adjusted measure set included in the Categorical Adjustment Index,which was first implemented in 2017 to address the within-contract disparity in performance associated with acontract’s percentages of beneficiaries with low income subsidy, dual eligibility, and disability. This expansionreflects CMS’s commitment to continue to ensure we are reflecting differences in performance, rather thandifferences in the populations being served across contracts.Rating DistributionThe last row in Table 1 details the trend in the average overall Star Ratings weighted by enrollment for MAcontracts offering prescription drug coverage (MA-PDs) from 2017 to 2020. 1Approximately 52 percent of MA-PDs (210 contracts) that will be offered in 2020 earned 4 stars orhigher for their 2020 overall rating.Weighted by enrollment, approximately 81 percent of MA-PD enrollees are currently in contracts thatwill have 4 or more stars in 2020.Percentages in the Tables may not sum to 100 due to rounding.1
Table 1: 2017 - 2020 Overall Star Rating Distribution for MA-PD Contracts2017Number ofContracts5 stars144.5 stars704 stars963.5 stars1093 stars652.5 stars92 stars0Total Rated Contracts363Not enough data available93Plan too new to be measured73Overall Rating20172018201820192019202020202017 Weighted by Number of 2018 Weighted by Number of 2019 Weighted by Number of 2020 Weighted entContracts%Enrollment3.869.8116 4.1611.1714 3.728.9320 4.9910.9619.2824.4558 15.0623.5264 17.0226.3572 17.9631.4126.4534.9097 25.1938.1994 25.0040.08118 29.4338.8230.0322.06139 36.1022.45124 32.9817.41131 32.6715.8217.918.1761 15.844.2066 17.557.0055 13.722.932.480.6212 3.120.4614 3.720.234 1.000.050.000.002 0.520.020 0.000.001 0.250.02100385 100376 100401 100849410884116159Average Star Rating*4.02* The average Star Rating is weighted by enrollment.4.074.064.16The last row in Table 2 details the trend in the average Part D Ratings weighted by enrollment for stand-alonePDPs from 2017 to 2020. Approximately 30 percent of PDPs (16 contracts) that will be active in 2020 received 4 or more stars fortheir 2020 Part D Rating.Weighted by enrollment, about 28 percent of PDP enrollees are in contracts with 4 or more stars.Another 42 percent of PDP enrollees are in 3.5 star contracts.Table 2: 2017 - 2020 Part D Rating Distribution for PDPsOverall Rating5 stars4.5 stars4 stars3.5 stars3 stars2.5 stars2 stars1.5 starsTotal Number of ContractsNot enough data availablePlan too new to be measuredAverage Star Rating*2017Number 02017 Weighted by Number of 2018 Weighted by Number of 2019 Weighted by Number of 2020 Weighted entContracts%Enrollment10.912.287 12.962.034 7.691.922 3.700.7614.550.655 9.260.285 9.620.697 12.961.7823.6437.7416 29.6345.037 13.460.837 12.9625.0429.0925.5517 31.4836.3915 28.8568.6121 38.8942.1216.3631.845 9.268.0016 30.7721.7714 25.9329.455.451.942 3.704.602 3.850.373 5.560.840.000.002 3.703.662 3.855.450 0.000.000.000.000 0.000.001 1.920.350 0.000.0010054 10052 10054 100543.55633.62743.343.50* The average Star Rating is weighted by enrollment.5-Star ContractsA total of 23 contracts are highlighted on the Medicare Plan Finder with a high performing indicator indicatingthey earned 5 stars; 20 are MA-PD contracts (Table 3), one is an MA-only contract (Table 4), and two are PDPs(Table 5).For 2020, nine contracts will receive the high performing indicator that did not receive it in 2019. All nine new5-star contracts are MA-PDs. The contracts receiving the high performing indicator in 2020 that did not receiveit in 2019 are highlighted in Table 3, and the contract number and name are italicized. The tables below showboth the Employer Group Health Plan (EGHP) service areas, if applicable, and the non-EGHP service areas.2
Table 3: MA-PD Contracts Receiving the 2020 High Performing IndicatorContractContract NameKelsey-Seybold Medical Group,PLLCH0332Ks Plan Administrators, LlcH0524H0630H1019Kaiser Foundation Hp, Inc.Kaiser Foundation Hp Of CoCareplus Health Plans, Inc.H1035H1170Florida Blue Medicare, Inc.Kaiser Foundation Hp Of Ga, Inc.H1230Kaiser Foundation Hp, Inc.Martin's Point GenerationsAdvantage, Inc.Care Improvement Plus SouthCentral Insurance CoKaiser Fndn Hp Of The t Organization5 StarLastYearEGHP ServiceAreaNon-EGHP Service AreaSNP34,96713 counties in TX242 counties inTXYesNoKaiser Foundation Health Plan, Inc.Kaiser Foundation Health Plan, Inc.Humana Inc.Guidewell Mutual HoldingCorporationKaiser Foundation Health Plan, Inc.1,209,041112,216138,59132 counties in CA14 counties in CO18 counties in FLNot applicableNot applicableNot applicableYesNoYesYesYesYes67,90730,53931 counties in FL12 counties in GA36 counties in FL9 counties in GAYesNoYesYesKaiser Foundation Health Plan, Inc.32,478YesYes1,7253 counties in HI16 counties in ME, 10counties in NHNot applicableMartin's Point Health Care, Inc.Not applicableNoNoUnitedHealth Group, Inc.2,1301 county in NYMost of the U.S.NoNoKaiser Foundation Health Plan, Inc.26,7983 counties in MD, 9counties in VANot applicableYesNoKaiser Foundation Health Plan, Inc.53,690D.C., 11 counties in MD, 9counties in VANot applicableYesNoTufts Health Plan, Inc102,203Not applicableYesYes1 county in WINoNoMost of the U.S.NoNoH2256Kaiser Fdtn Hlth Plan Of The MidAtlantic StatesTufts Associated HealthMaintenance OrganizationH2462Group Health Plan, Inc. (mn)HealthPartners, Inc.5,913H3597Aetna Health Inc. (me)Unitedhealthcare Benefits Of Texas,Inc.CVS Health Corporation8,94310 counties in MA21 counties in MN, 14counties in ND, 11counties in SD, 7 countiesin WI16 counties in MEUnitedHealth Group, Inc.256,41753 counties in TXNot applicableNoYesH2172H4590H5050Kaiser Foundation Health Plan OfWashingtonKaiser Foundation Health Plan, Inc.95,64212 counties in WANot applicableNoNoH5262Quartz Health Plan CorporationUniversity of Wisconsin Hospitalsand Clincs Autho16,7725 counties in IA, 1 countyin IL, 14 counties in WINot applicableNoNoH5410Healthspring Of FloridaCIGNA48,11217 counties in FL50 counties in FLYesYesH5431Healthsun Health Plans, Inc.3 counties in FLNot applicableYesNoQuartz Health Plan Mn CorporationAnthem Inc.University of Wisconsin Hospitalsand Clincs Autho48,646H98341,7723 counties in MNNot applicableYesNoTable 4: MA-only Contract Receiving the 2020 High Performing Indicator2ContractH1651Parent OrganizationEnrolled10/2019EGHP ServiceAreaNon-EGHP Service Area5 Star LastYearMedical Associates Clinic, P.C.12,573Not applicable68 counties in IA, 2 countiesin IL, 49 counties in NEYesContract NameMedical Associates HealthPlan, Inc.Table 5: PDP Contracts Receiving the 2020 High Performing IndicatorContract2Contract NameParent OrganizationEnrolled10/2019EGHP ServiceAreaNon-EGHP Service Area5 Star LastYearS2893Anthem Insurance Co. &Bcbsma & Bcbsri & BcbsvtAnthem Insurance Co. &BCBSMA & BCBSRI &BCBSVT185,32829 regionsNot applicableYesS3521Excellus Health Plan, Inc.Lifetime Healthcare, Inc.8,10430 regionsNot applicableYesMA-only contracts cannot offer SNPs.3
Consistently Low PerformersThere are five contracts identified on the Medicare Plan Finder with a low performance warning for consistentlylow quality ratings as detailed in Table 6. These contracts are receiving the warning for Part C and/or Part Dsummary ratings of 2.5 or fewer stars from at least 2018 through 2020.Table 6: 2020 Contracts with a Low Performance WarningContractContract NameParent OrganizationReason forLowPerformanceWarningEnrolled 10/2019SNPH2773Quality Health Plans Of New York, Inc.QHP Financial Group, Inc.Part C2,945YesH3071Community Care Alliance Of Illinois, NfpDelaware Life Insurance CompanyPart C or D4,538NoH6988Centers Plan For Healthy Living, LlcCenters Plan for Healthy Living, LLCPart D1,203YesH7680Prominence Healthfirst Of TexasUniversal Health Services, Inc.Part C or D1,206NoS4607Merit Health Insurance CompanyMagellan Health, Inc.Part D63,495NoLength of Time in Program and PerformanceOverall, higher Star Ratings are associated with contracts that have more experience in the MA program. ForPDPs, the correlation between amount of experience and Star Ratings is not as strong. The tables below showthe distribution of ratings by the number of years in the program (MA-PDs are shown in Table 7 and PDPs inTable 8).Table 7: Distribution of Overall Star Ratings by Length of Time in Program for MA-PDs2020 Overall RatingCount Lessthan 5 years% Less than 5YearsCount 5 yearsto Less than 10years% 5 years toLess than 10yearsCount Greaterthan 10 years% Greater than10 years5 stars11.2834.00166.454.5 stars911.5468.005722.984 stars1519.232026.678333.473.5 stars3139.742634.677429.843 stars1924.361824.00187.2633.8511.3300.002.5 starsTotal Number of Contracts7875248Table 8: Distribution of Part D Ratings by Length of Time in Program for PDPs2020 Overall RatingCount Lessthan 5 years% Less than 5YearsCount 5 yearsto Less than 10years% 5 years toLess than 10yearsCount Greaterthan 10 years% Greater than10 years5 stars00.0000.0024.5 stars120.00240.0049.094 stars120.0000.00613.643.5 stars00.00120.002045.453 stars120.00240.001125.002.5 stars240.0000.0012.27Total Number of Contracts554.55444
Geographic VariationThe following eight maps illustrate the average Star Ratings from 2017 to 2020 weighted by enrollment percounty for MA-PDs and PDPs across the U.S., including territories.3 These maps exclude EGHPs. Countiesshaded in green indicate that the enrollment-weighted mean for the overall Star Rating in the county for MAPDs or Part D Rating for PDPs is 4 or more stars. Similarly, counties shaded in yellow indicate that theenrollment-weighted mean rating is 3 stars, and areas shaded in orange indicate that the enrollment-weightedmean rating is less than 3 stars. Areas in gray indicate data are not available for those counties. Among thechanges and updates from previous years are: 3Highly rated [4 stars or greater] MA-PDs continue to be available in the vast majority of regions acrossthe country.In the period from 2017 through 2020, the number of highly-rated PDPs across the country generallyincreased (evidenced by the greater percentage of green shaded regions on the maps over time). Between2019 and 2020, there was a small increase in the enrollment-weighted mean rating in some counties.Please note that no new measures were added to the Star Ratings program from 2019 to 2020.Comparisons of Star Ratings across years do not reflect annual revisions made by CMS to the Star Ratings methodology or measureset.5
2020 Star Ratings - Enrollment Weighted Average MA-PD Overall Rating in Non-EGHP CountiesMissing Data1 Star1.5 Stars2 Stars2.5 Stars3 Stars3.5 Stars4 Stars4.5 Stars5 Stars6
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2020 Star Ratings - Enrollment Weighted Average PDP Part D Rating in Non-EGHP CountiesMissing Data1 Star1.5 Stars2 Stars2.5 Stars3 Stars3.5 Stars4 Stars4.5 Stars5 Stars10
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Average Star Rating for Each MeasureBelow we list the average Star Ratings for 2017, 2018, 2019, and 2020 Part C and D measures (Tables 9,10 and 11) using all measure scores for contracts that are publically reported in a given year.4Table 9: Average Star Rating by Part C Measure2020 MeasureNumberMeasure2017 AverageStar2018 AverageStar2019 AverageStar2020 AverageStarC01Breast Cancer Screening4.13.13.43.5C02Colorectal Cancer Screening3.23.43.83.8C03Annual Flu Vaccine3.33.23.23.2C04Improving or Maintaining Physical Health2.62.93.03.2C05Improving or Maintaining Mental Health3.63.73.33.9C06Monitoring Physical Activity2.92.92.83.2C07Adult BMI Assessment4.44.14.54.2C08Special Needs Plan (SNP) Care Management3.03.23.23.1C09Care for Older Adults – Medication Review4.44.14.44.3C10Care for Older Adults – Functional Status Assessment4.04.04.24.0C11Care for Older Adults – Pain Assessment4.54.44.14.4C12Osteoporosis Management in Women who had a Fracture2.72.62.73.1C13Diabetes Care – Eye Exam3.43.63.83.8C14Diabetes Care – Kidney Disease Monitoring3.63.74.24.1C15Diabetes Care – Blood Sugar Controlled3.74.23.84.2C16Rheumatoid Arthritis Management3.93.43.03.6C17Reducing the Risk of Falling2.42.53.02.5C18Improving Bladder Controln/a – new in 20183.23.13.2C19Medication Reconciliation Post-Dischargen/a – new in 20183.43.03.0C20Plan All-Cause Readmissions3.33.33.12.8C21Statin Therapy for Patients with Cardiovascular Diseasen/a – new in 2019n/a – new in 20193.33.1C22Getting Needed Care3.33.43.33.3C23Getting Appointments and Care Quickly3.33.33.43.4C24Customer Service3.33.43.43.5C25Rating of Health Care Quality3.43.43.33.3C26Rating of Health Plan3.23.23.33.2C27Care Coordination3.43.33.43.4C28Complaints about the Health Plan4.64.34.14.9C29Members Choosing to Leave the Plan4.34.03.93.9C30Health Plan Quality Improvement3.13.63.53.4C31Plan Makes Timely Decisions about Appeals4.04.04.24.4C32Reviewing Appeals Decisions4.04.04.04.1C33Call Center – Foreign Language Interpreter and TTY Availability4.24.54.34.34Changes in the average (mean) measure-level Star Rating do not always reflect changes in performance since for somemeasures there have been significant changes in industry performance and shifts in the distribution of scores.14
Table 10: Average Star Rating by Part D Measure for MA-PDs2020 MeasureNumberMeasure2017 MAPDAverage Star2018 MAPDAverage Star2019 MAPDAverage Star2020 MAPDAverage StarD01Call Center – Foreign Language Interpreter and TTY Availability4.34.54.34.6D02Appeals Auto–Forward3.94.84.54.7D03Appeals Upheld2.93.93.93.8D04Complaints about the Drug Plan4.64.34.04.9D05Members Choosing to Leave the Plan4.33.93.93.9D06Drug Plan Quality Improvement3.63.74.23.7D07Rating of Drug Plan3.33.23.23.0D08Getting Needed Prescription Drugs3.63.43.53.5D09MPF Price Accuracy4.74.74.84.8D10Medication Adherence for Diabetes Medications3.53.33.73.9D11Medication Adherence for Hypertension (RAS antagonists)4.03.73.13.3D12Medication Adherence for Cholesterol (Statins)3.53.33.23.4D13MTM Program Completion Rate for CMR2.53.53.33.6D14Statin Use in Persons with Diabetes (SUPD)n/a – new in 2019n/a – new in 20193.33.52019 PDPAverage Star2020 PDPAverage StarTable 11: Average Star Rating by Part D Measure for PDPs2020 MeasureNumberMeasure2017 PDPAverage Star2018 PDPAverage StarD01Call Center – Foreign Language Interpreter and TTY Availability3.63.94.24.1D02Appeals Auto–Forward4.14.44.24.5D03Appeals Upheld3.33.53.13.3D04Complaints about the Drug Plan4.34.23.64.4D05Members Choosing to Leave the Plan4.43.64.13.8D06Drug Plan Quality Improvement3.83.94.23.7D07Rating of Drug Plan3.43.43.33.5D08Getting Needed Prescription Drugs3.63.43.43.5D09MPF Price Accuracy4.84.64.64.8D10Medication Adherence for Diabetes Medications3.33.22.63.3D11Medication Adherence for Hypertension (RAS antagonists)3.73.23.03.2D12Medication Adherence for Cholesterol (Statins)3.63.33.13.3D13MTM Program Completion Rate for CMR2.82.82.63.3D14Statin Use in Persons with Diabetes (SUPD)n/a – new in 2019n/a – new in 20192.93.0This communication is printed, published, or produced and disseminated at U.S. taxpayer expense.15
Martin's Point Health Care, Inc. 1,725 16 counties in ME, 10 counties in NH Not applicable No No H1537 Care Improvement Plus South Central Insurance Co UnitedHealth Group, Inc. 2,130 1 county in NY Most of the U.S. No No H2150 Kaiser Fndn Hp Of The Mid-atlantic Sts Kaiser Foundation Health Plan, Inc. 26,798 .
Star 1 Star 2 Star 3 Star 4 Star 5 2012-2013 Star 1 Star 2 Star 3 Star 4 Star 5 2014-2015 Star 1 Star 2 Star 3 Star 4 Star 5 2016-2017 Star 1 Star 2 Star 3 Star 4 Star 5 Star Label Up-gradation for Split AC 2018-2019 Star 1 Star 2 Star 3 Star 4 Star 5 Star Level Min EER Max EER Star 1 2.70 2.89 Star 2 2.90 2.99 Star 3 3.10 3.29 Star 4 3.30 3.49 .
Industry Top Trends 2020: North America Merchant Power S&P Global Ratings November 7, 2019 2 Ratings trends and outlook North America Merchant Power Chart 1 Ratings distribution Chart 2 Ratings outlooks Chart 3 Ratings outlook net bias Source: S&P Global Ratings. Ratings data measured at quarter end. Data for Q4 2019 is end October, 2019 0 5 10 15
1. Suppose star B is twice as far away as star A. A. Star B has 4 times the parallax angle of star A. B. Star B has 2 times the parallax angle of star A. C. Both stars have the same parallax angle. D.Star A has 2 times the parallax angle of star B. E. Star A has 4 times the parallax angle of star B.
In 2016, S&P Global Ratings acquired 49% of TRIS Ratings, a leading provider of credit ratings based in Bangkok, Thailand, and opened a new office in Santiago, Chile n S&P Global Ratings presence n S&P Global Ratings affiliate Globally, S&P Global Ratings rated more than 3.6 trillion in new debt in 2015 The table above reflects information .
200 Independence Avenue, SW Washington, DC 20201 FACT SHEET October 6, 2022 Contact: CMS Media Relations (202) 690-6145 CMS Media Inquiries 2023 Medicare Advantage and Part D Star Ratings Note: The information included in this Fact Sheet is based on the 2023 Star Ratings published on the Medicare Plan Finder on October 6, 2022.
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A-Star comparison table A-Star 328PB Micro A-Star 32U4 Micro A-Star 32U4 Mini ULV A-Star 32U4 Mini LV A-Star 32U4 Mini SV A-Star 32U4 Prime LV A-Star 32U4
1. Airport Hotel 3-5 star 2. Beach Hotel 3-5 star 3. Boutique Hotel 4-5 star 4. Business Hotel 1-5 star 5. City Hotel 1-5 star 6. Convention Hotel 1-5 star 7. Family Hotel 3-5 star 8. Resort Hotel 3-5 star 9. Apartment Hotel 1-5 star Designators are awarded after the hotel has met the requirements of the respective designators.
