Member complaints and changes in the drug plan’s performance: Includes how often Medicare found problems with the plan, and how often members had problems with the plan. Includes how much the plan’s performance has improved (if at all) over time.
Drug safety and accuracy of drug pricing: Includes how accurate the plan’s pricing information is and how often members with certain medical conditions are prescribed drugs in a way that is considered safer and clinically recommended for their condition.
This information is gathered from several different sources. In some cases it is based on member surveys. In other cases, it is based on reviews of billing and other information that plans submit to Medicare results from Medicare’s regular monitoring activities.