As partners for improving quality, PQS has provided key highlights from the 2019 Part C & D Star Rating Technical Notes that impact pharmacy-based quality measures. The complete version of the Technical Notes can be found here.
The Centers for Medicare & Medicaid Services released the Medicare 2019 Part C & D Star Rating Technical Notes on October 10th. This update documents the trends and high-level summary of performance associated with key Part D measures.
The 2019 Star Ratings for Medicare Part C & D plans are displayed on the Medicare Plan Finder found at www.medicare.gov. As of October 15th, Medicare beneficiaries can view these 2019 Star Ratings when selecting their MA-PD or PDP for the 2019 benefit year as part of the Open Enrollment period which will continue through December 7th.
Effective with the October EQuIPP™ performance refresh, Pharmacy Quality Solutions (PQS) has displayed the updated 2019 Star Rating thresholds in EQuIPP™ for the 3, 4, and 5 Star MAPD Thresholds within the Goal drop down menu on the main page. However, most plans, PBMs, and associated programs will continue to maintain customized, programmatic goals which would be detailed in the Quality Improvement Program (QIP) table in addition to any applicable “My Programs” displays.
Please continue reading our highlights by visiting this link.