Table 1.
Distribution of Medicare Advantage Health Plans by HEDIS and CAHPS Health Equity Summary Score
| HEDIS | |||||||
|---|---|---|---|---|---|---|---|
| Not measurable | Total measurable | Low | Medium | High | Overall total | ||
| CAHPS | Not measurable | 12% | 39% | 6% | 24% | 12% | 51% |
| (48) | (166) | (24) | (97) | (45) | (214) | ||
| 2% | 44% | 2% | 21% | 21% | 46% | ||
| Total measurable | (7) | (177) | (9) | (85) | (83) | (184) | |
| Low | < 1% | 3% (12) | 1% | 2% | 1% | 3% | |
| (1) | (2) | (7) | (3) | (13) | |||
| Medium | 1% | 24% (97) | 1% | 13% | 10% | 25% | |
| (4) | (4) | (52) | (41) | (101) | |||
| High | 1% | 17% (68) | 1% | 7% | 10% | 18% | |
| (2) | (3) | (26) | (39) | (70) | |||
| Overall total | 14% | 86% | 8% | 46% | 32% | 100% | |
| (55) | (343) | (33) | (182) | (128) | (398) | ||
Percent of all n = 398 plans is given in each cell (number of plans given in parenthesis)
*Low-scoring plans have 1–2 Health Equity Summary Score (HESS) stars, medium-scoring plans 2.5–3.5 HESS stars, and high-scoring plans have 4–5 HESS stars. HESS stars computed in either the Healthcare Effectiveness Data and Information Set (HEDIS) or the MA Consumer Assessment of Healthcare Providers and Systems (CAHPS). Overall total is the sum of not measurable and total measurable. Total measurable is the sum of low, medium, and high