White Paper

Improving Medicare Advantage Quality Measurement

Medicare Advantage health plans are evaluated on a quality-based Star Rating System, which measures performance on a set of quality measures that span several domains, including patient experience and chronic care management. Medicare Advantage plans receive a composite quality star rating on a scale from one to five, with five indicating the highest quality rating. Four- and 5-star plans are eligible to receive additional quality bonus payments, which must be used to lower premiums and/or provide extra benefits to enrollees.