Health Insurance Marketplace Quality Rating System
It also requires marketplaces to display qhp quality ratings on marketplace websites to assist in consumer selection of qhps.
Health insurance marketplace quality rating system. Under the quality rating system exchange health plans are given an overall rating on a 5 star scale with 5 stars representing highest quality. Member experience medical care and plan administration. About the quality rating system qrs section 1311 c 3 of the affordable care act directs the hhs secretary to develop a system that rates qhps based on relative quality and price.
Healthcare gov offers a health insurance plan quality ratings or star ratings program. Overall health insurance plan quality ratings each rated health plan has an overall quality rating of 1 to 5 stars 5 is highest which accounts for member experience medical care and health plan administration. Display on healthcare gov for py 2021 cms will display star ratings on a 1 to 5 star scale 5 is highest for the qrs.