2011 Medicare Plan Star Ratings
· The Medicare Plan Finder web site provides tools to help beneficiaries compare Medicare health plans with or without prescription drug plans, and stand-alone prescription drug plans. It includes Medicare Plan Star Ratings, which measure plan quality and performance. This information will help beneficiaries choose a plan that meets their specific needs.
· Plans receive a star rating for each category and every individual measure within the category. A contract can get ratings between one to five stars:
* means poor performance
* * means below average performance
* * * means average performance
* * * * means above average performance
* * * * means above average performance
* * * * * means excellent performance
· Additionally, health and drug plans receive an “Overall Plan Rating” that summarizes all category measures into a single rating: one for health plans, one for health plans with prescription drug coverage, and one for stand-alone prescription drug plans. This overall rating includes half-stars to provide more differentiation between contracts.
Distribution of Overall Plan Ratings for MA-PD Contracts (2011) * **
|
Overall Score
|
Contract Count
|
%
|
MA-PD % Weighted By Enrollment
|
|
5 stars
|
3
|
0.5
|
1.0
|
|
4 stars
|
74
|
13.2
|
23.2
|
|
3 stars
|
271
|
48.4
|
60.4
|
|
2 stars
|
48
|
8.6
|
7.2
|
|
Not enough data to calculate overall rating
|
104
|
18.6
|
3.6
|
|
Plan too new to be measured
|
60
|
10.7
|
4.5
|
|
Total
|
560
|
100
|
100
|
* Half-star ratings are rounded down for these distributions
** These ratings summarize all Part C and Part D measures combined.
This star rating distribution is the same as the star rating distribution for purposes of the quality bonus determination under the demonstration.
Distribution of Overall Plan Ratings for PDP Contracts (2011)
(These scores are the same as Part D summary rating for PDP contracts)
* Half-star ratings are rounded down for these distributions
For plan year 2011, plans that have received fewer than three stars for three consecutive years, will have a “low performer” icon affixed to the plan name on the Medicare Plan Finder. Beneficiaries who are considering a plan that has received the low performer icon should study in more detail all specific quality information provided on www.Medicare.gov for the plan they are considering.