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
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.