Star ratings for ACA health plan exchanges are newer than their hospital and Medicare Advantage counterparts. Two years ago, CMS began testing star ratings for ACA insurance exchanges in select states. The measure considers administration of the plan, clinical metrics like preventive screenings, and member satisfaction with physician network and benefits.
For the 2020 plan year, about 80 percent of plans in the federal marketplaces received three or more stars, according to KHN. Only 1 percent got five stars. About a third of health plans don’t have a quality rating
When it comes to deciding on a plan, the stars may not matter much for some ACA exchange enrollees, especially those who only have one plan to choose from. Some may pay more attention to other plan features, such as physician network, medication coverage, deductible size and premiums, experts told KHN.
Read the full report here.
More articles on payers:
Humana to lay off 800+ employees
Amazon-Berkshire-JPMorgan tests new employee health plan in some states
U of Mississippi Medical physician sues insurers for denying cancer treatment
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit
