Five-Star Quality Rating System for Medicare Advantage Plans
Автор:
Jesse Russell,Ronald Cohn, 114 стр., издатель:
"Книга по Требованию", ISBN:
978-5-5091-0877-8
High Quality Content by WIKIPEDIA articles! The Five Star Quality Rating System for Medicare Advantage Plans is run by the Centers for Medicare and Medicaid Services (CMS), and was put in place as part of an effort to help educate consumers on quality and make quality data more transparent. The ratings consist of over 50 measures hailing from 5 different rating systems: HEDIS (Healthcare Effectiveness Data and Information Set), CAHPS (Consumer Assessment of Healthcare Providers and Systems), CMS (Centers for Medicare and Medicaid Services), HOS (Health Outcomes Survey), and IRE (Independent Review Entity). These systems rate Medicare Advantage plans according to 5 domains: staying healthy via preventive services such as screenings and vaccines; managing chronic conditions; ratings of plan responsiveness and care; complaints, appeals, and voluntary disenrollment; and telephone customer service. Data to support these star ratings come from surveys, empirical observation, administrative...
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