CMS Adds Health Plan Ratings to ACA Exchanges
August 20, 2019 | Eric D. Fader | Affordable Care Act | Legislation and Public Policy | Medicare and Medicaid | Private InsurersThe Centers for Medicare & Medicaid Services (CMS) announced on August 15 that health plans offered on health insurance exchanges will be ranked using a five-star quality rating system for the 2020 plan year open enrollment period that begins on November 1, 2019. The ratings will appear on both state-based exchanges and the federal exchange, HealthCare.gov, that were created under the Affordable Care Act (ACA). CMS also released a fact sheet on the ratings system and a summary of 2019 plan year ratings.
Star ratings will cover three major areas. CMS will evaluate plans’ effectiveness in providing medical care, including whether network providers are scheduling regular screenings, vaccinations, and other basic health services for their patients. Plans’ ratings for “member experience” will be based on surveys of patient satisfaction with their providers, including ease of getting appointments. The plan administration category will look at how well the plan is run, including customer service and how easily members can access necessary information. New plans or those with low enrollments might not receive a star rating.
CMS conducted a pilot of the star rating system in Virginia and Wisconsin for the 2017 and 2018 open enrollment periods and added ratings in Michigan, Montana, and New Hampshire for the 2019 plan year. The agency hopes that the nationwide rollout will increase transparency and competition among plans, resulting in better-quality and cost-effective care for consumers.
MORE NEWS ON Private Insurers
The U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) recently released an audit report on HIPAA...
Read MoreA proposed rule released by the U.S. Department of Health and Human Services on December 10 would give healthcare providers...
Read MoreAn October 9 article in Medical Economics, “Tips for buying the right malpractice coverage,” discussed factors physicians should consider when...
Read More- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
December 2020 November 2020 October 2020 September 2020 August 2020 July 2020 June 2020 May 2020 April 2020 March 2020 February 2020 January 2020 December 2019 November 2019 October 2019 September 2019 August 2019 July 2019 June 2019 May 2019 April 2019 March 2019 February 2019 January 2019 December 2018 November 2018 October 2018
- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
- Jennifer Abreu
- Brian R. Ade
- Ashley (Osadon) Algazi
- Mary Aperance
- Steven J. Auletta
- Michael A.L. Balboni
- Khoren Bandazian
- Brian L. Bank
- Angelica M. Barcsansky
- Dion K. Bass
- Jill F. Bechtold
- Yonatan Bernstein
- Christina M. Bezas
- Michelle A. Bholan
- Jason M. Biegel
- Merril S. Biscone
- Jonah H. Blumenthal
- Stuart M. Bodoff
- Jann Brent
- Jonathan B. Bruno
- Andrew Buonincontri
- Jacqueline (Mecchella) Bushwack
- Curtis Campbell
- Michael C. Cannata
- David Cano
- Michele Chavez
- Kathryn Schulz Ches
- Margarita Christoforou
- Angela Cipolla
- Jill S. Citron
- Brian S. Conneely
- Sal Coppolino
- William Cornachio
- E.K. Cottrell
- Alexandra Cusano
- Melissa A. Dearing
- Nancy A. Del Pizzo
- Catalina E. De La Hoz
- Thomas V. DeMarco
- Joseph P. DiBella
- Janice J. DiGennaro
- Christine DiGregorio
- John K. Diviney
- Andrew Dugué
- Alan C. Eagle
- Glenn H. Egor
- Jeffrey Ehrhardt
- Daniel Ehrlich
- Scott A. Eisenmesser
- Karen Eng
- Joanne M. Engeldrum
- Harvey S. Epstein
- Eric D. Fader
- Brian L. Feld
- Scott L. Feuer
- Gary Fields
- James R. Finn
- Kaitlyn E. Flynn
- Robert Fogarty
- Richard A. Frankel
- Daniel E. Furshpan
- Avigael C. Fyman
- Jenna Z. Gabay
- Max Gershenoff
- Caitlyn Gibbons
- Laura (Mulholland) Gindele
- David Gise
- Maureen A. Glackin
- Erez Glambosky
- Ryan Goldberg
- Timothy Gonzalez
- Stuart I. Gordon
- Paul Gorfinkel
- Sean Gorton
- Joshua Gostel
- Joel M. Greenberg
- Jeffrey S. Greener
- David M. Grill
- Colin S. Grimm
- Amanda Griner
- Keith S. Grover
- Walter J. Gumersell
- Jason B. Gurdus
- Lawrence S. Han
- Qasim Haq
- Tamika N. Hardy
- Jean A. Hegler
- Amanda Hegyes
- Michael J. Heller
- Steven T. Henesy
- Katherine A. Heptig
- Jennifer F. Hillman
- Brandi Holton
- Claudia Honan (Hinrichsen)
- Jeremy B. Honig
- Robert Hussar
- Ryan T. Hyde
- Michael N. Impellizeri
- Megan Iocco
- Deborah M. Isaacson
- Robert H. Iseman
- Frank P. Izzo
- B. Edward Jaffe
- Ada Janocinska
- Michael J. Jones
- Geoffrey R. Kaiser
- Priscilla D. Kam
- Gene Y. Kang
- Konstantinos Kapatos
- Bernadette Kasnicki
- Jay D. Kenigsberg
- Cheryl F. Korman
- Yaron J. Kornblum
- Michael A. Kotula
- Drew Krieger
- Evan H. Krinick
- Christopher J. Kutner
- Joseph T. La Ferlita
- Katie Lachter
- Matthew A. Lampert
- Marie A. Landsman
- Carol A. Lastorino
- Jennifer P. Lawson
- Jessica Lefebvre
- Stella Lellos
- Barry I. Levy
- Lawrence A. Levy
- Cari Lewis
- David Lobl
- Paul V. Majkowski
- Edwin A. Maldonado
- Benjamin P. Malerba
- Robert A. Maloney
- Christopher Mango
- Greg E. Mann
- Patricia C. Marcin
- John Marino
- Henry M. Mascia
- Rebecca Matthews
- John M. McFaul
- Gloria J. Medina
- Douglas E. Menikheim
- Howard M. Merkrebs
- Silvana Merlino
- Heather S. Milanese
- Jamie (Eliassaint) Milfort
- Gregory D. Miller
- Siobhain P. Minarovich
- Frank M. Misiti
- Morgan Moceyunas
- Nicholas G. Moneta
- Rebecca Morrison
- Dylan Mruczinski
- John P. Mulvaney
- Kenneth C. Murphy
- E. Christopher Murray
- Anne M. Murray
- Philip Nash
- Mirielle Nezamy
- Kenneth A. Novikoff
- Colleen A. O’Neil
- Moise A. Ogé
- Chloe Orta
- John Panagopoulos
- Cristina M. Paneque
- Alexander G. Pappas
- Ana Parikh
- Domenick J. Pesce
- Albert W. Petraglia
- Jenna M. Pettograsso
- Justin M. Piccione
- Joseph Pidel
- Eric J. Ploumis
- Ashley Prinz
- Sheila Pugliese
- John F. Queenan
- Evan Rabinowitz
- Frank Raia
- Bryan Ramdat
- Ivette Reyes
- Gisella Rivera
- Pia E. Riverso
- John J. Robertelli
- Ryan Roberts
- Joanna B. Rosenblatt
- Burton R. Ross
- Lauren E. Russo
- Jeffrey P. Rust
- Alan S. Rutkin
- Andrea C. Sacks
- Jason A. Sanders
- David Santana
- Eric Santos
- Mariann Sarraf
- William M. Savino
- Catherine Savio
- Evan R. Schieber
- William Schleifer
- Brian S. Schlosser
- Michael Schnepper
- Thomas P. Schulz
- Paul Schwabe
- Garin Scollan
- Steven Shapiro
- Sahil Sharma
- Wendy Hoey Sheinberg
- Syma Shulman Levine
- Amy L. Silver
- Sean N. Simensky
- Avi Sinensky
- Michael A. Sirignano
- Stephen J. Smirti, Jr.
- Ariane Smith
- Joshua D. Smith
- Joseph N. Salomon
- Karen E. Sosler
- Matthew V. Spero
- Allison N. Stapleton
- Eric S. Strober
- James Suozzo
- Joshua M. Tare
- Stanley J. Tartaglia, Jr.
- Jonathan Tilles
- Frank P. Tiscione
- Alexandria E. Tomanelli
- Michael A. Troisi
- Lindsey R. Trowell
- Robert Tugander
- Michael J. Twersky
- Nadia Udeshi
- Marc S. Ullman
- Frank A. Valverde
- Michael Vanunu
- Michael P. Versichelli
- Louis Vlahos
- Jenson Wang
- Michael P. Welch
- Kristen L. Wenger
- Jefferson Wheeler
- Amy S. Wiedmann
- David S. Wilck
- Andrew L. Williams
- Benjamin J. Wisher
- Alexandra Wolff
- Matthew J. Zangwill
- Victoria Zorovich
- Steven M. Zuckermann
- Rivkin Rounds Staff
- Author Test