Understanding the CMS Star Ratings - Member Experience with Health Plan HD3
How do the plan’s members rate the plan? This category shows how well each plan performed in Medicare’s member experience survey. This survey may include items such as members’ ratings about the ease of getting appointments and care, getting needed information from the plan, and the plan’s coordination of members’ health care services. It may also include members’ overall ratings of the plan. When comparing plans on this topic, it’s better to look at and compare star ratings than to compare plans using the star details (the percentages, times, or other numbers for measures). The star ratings are better because they capture more statistical information while keeping it easy to make comparisons.This category is based on six (6) sub-categories:
The member experience with health plan data comes from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Additional data source information for each sub-category is outlined below.
Ease of Getting Needed Care and Seeing Specialists
Percent of the best possible score the plan earned on how easy it is for members to get needed care, including care from specialists.Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Getting Appointments and Care Quickly
Percent of the best possible score the plan earned on how quickly members get appointments and care.Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Health Plan Provides Information or Help When Members Need It
Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Member’s Rating of Health Care Quality
Percent of the best possible score the plan earned from members who rated the quality of the health care they received.Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Member’s Rating of Health Plan
Percent of the best possible score the plan earned from members who rated the health plan.Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.
Coordination of Members’ Health Care Services
Percent of the best possible score the plan earned on how well the plan coordinates members’ care. (This includes whether doctors had the records and information they need about members’ care and how quickly members got their test results.)Data Source:
This information is from a survey of Medicare health plan enrollees (the Medicare Member Experience Survey). The results have been independently validated.