Table 2.
Quality Measures Contributing to 2016 Star Rating for Medicare Part D Plans
| Weight | 2016 PDP Average Score | 2016 MA/PDP Plan Average Score | |
|---|---|---|---|
| Drug Plan Customer Service | |||
| Call center; foreign language interpreter and TTY available | 1.5 | 4.0 | 4.2 |
| Appeals autoforward | 1.5 | 4.1 | 4.5 |
| Appeals upheld | 1.5 | 3.1 | 3.3 |
| Member Complaints, Problems Getting Services, and Choosing to Leave the Plan | |||
| Complaints about the drug plan | 1.5 | 3.5 | 3.9 |
| Members choosing to leave the plan | 1.5 | 3.6 | 4.2 |
| Beneficiary access and performance problems | 1.0 | 3.9 | 4.2 |
| Drug plan quality improvement | 5.0 | 3.8 | 3.8 |
| Member Experience With Drug Plan | |||
| Rating of drug plan | 1.5 | 3.2 | 3.3 |
| Getting needed prescription drugs | 1.5 | 3.6 | 3.4 |
| Drug Pricing and Patient Safety | |||
| MPF price accuracy | 1.0 | 3.7 | 4.5 |
| High-risk medication | 3.0 | 3.1 | 4.1 |
| Medication adherence for diabetes medications | 3.0 | 2.7 | 3.9 |
| Medication adherence for hypertension (RAS antagonists) | 3.0 | 3.6 | 4.1 |
| Medication adherence for cholesterol (statins) | 3.0 | 3.5 | 4.0 |
| MTM program completion rate for CMRa | 1.0 | 2.3 | 2.3 |
Abbreviations: CMR, comprehensive medication review; MA, Medicare Advantage; MPF, Medicare Plan Finder; MTM, medication therapy management; PDP, Part D Plan; RAS, renin-angiotensin system; TTY, teletype writer.
Data source:70.
a
Measure added in 2016 with a default weight of 1.0; weight may increase for 2017 star ratings.