Medicare Star Ratings – What Plan Sponsors Need to Know By Theresa C. Carnegie and Roy M. Albert

more+
less-

Originally published in BNA’s Medicare Report, 11/30/2012.

On Oct. 12, the Centers for Medicare & Medicaid Services published its 2013 Medicare Health Plan Quality and Performance Ratings, also called ‘‘Star Ratings’’ or ‘‘Plan Ratings.’’ Star Ratings assist enrollees in choosing Medicare Advantage (‘‘MA’’) plans and Prescription Drug Plans (‘‘PDPs’’) during the annual enrollment period beginning in October and ending in December.

In the past, Star Ratings were used both as an informational tool for beneficiaries and as a way for CMS to help identify poor performing MA plans and PDPs. These ratings have become increasingly important since the enactment of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the ‘‘Affordable Care Act’’). The Affordable Care Act requires that MA quality bonus payments be tied to Star Ratings—a requirement that has generated a fair amount of controversy.

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Topics:  Affordable Care Act, CMS, Medicare

Published In: Administrative Agency Updates, Health Updates, Insurance Updates, Labor & Employment Updates

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Mintz Levin - Health Law & Policy Matters | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »