What are the measures of star rating?

Asked by: Dr. Amara Collins II  |  Last update: October 28, 2025
Score: 4.7/5 (54 votes)

The 5 measure groups include:
  • Mortality.
  • Safety of care.
  • Readmission.
  • Patient experience.
  • Timely and effective care.

What are the star rating indicators?

Star Ratings are measured on a scale of 1 to 5 stars: 1 star indicates 'significant improvement needed' • 2 stars indicates 'improvement needed' • 3 stars indicates an 'acceptable' quality of care • 4 stars indicates a 'good' quality of care • 5 stars indicates an 'excellent' quality of care.

What are the measures for the 2024 star rating?

For the 2024 Star Ratings, the adjusted measures are: Annual Flu Vaccine, Breast Cancer Screening, Colorectal Cancer Screening, Controlling Blood Pressure, Diabetes Care – Blood Sugar Controlled, Diabetes Care – Eye Exam, Improving Bladder Control, Medication Reconciliation Post-Discharge, MTM Program Completion Rate ...

How are star ratings calculated?

Summary star ratings are an average of a provider's question level star ratings. Patient star ratings are calculated by dividing the patient's aggregate mean score by 20.

What do star ratings measure for HEDIS?

Star Ratings are determined by performance against a set of measures, the Healthcare Effectiveness Data and Information Set or HEDIS. These track performance on key aspects of care and service. HEDIS measures are managed by the National Committee for Quality Assurance, NCQA.

Explaining Medicare & the Medicare Star Ratings Program

39 related questions found

What measures are included in star rating?

The 5 measure groups include:
  • Mortality.
  • Safety of care.
  • Readmission.
  • Patient experience.
  • Timely and effective care.

What are the HEDIS measurements?

HEDIS measures address a range of health issues including: asthma medication use; persistence of beta-blocker treatment after a heart attack; controlling high blood pressure; comprehensive diabetes care; breast cancer screening; chlamydia screening; antidepressant medication management; immunization status; and ...

What are star rating performance measures?

Which measures did CMS use for the 2024 star rating? The star rating is made up of five categories: mortality rates, patient readmissions to the hospital, safety of care, timely and effective care, and the patient experience (as reported by patients).

What are the star ratings?

The Star Ratings system rewards higher-performing plans. This means that those with four or more stars receive annual bonus payments from CMS. The higher the rating, the higher the bonus. Plans are required by law to spend this bonus money on extra benefits for members, such as vision, hearing or dental coverage.

What are the 5 star rating components of CMS?

Five-Star Overview

Created by the Centers for Medicare & Medicaid Services (CMS) in 2008, the rating system uses information from Health Care Surveys (both standard and complaint), Quality Measures, and Staffing. The Care Compare website​​​ features the rating system.

What are the 5-star rating criteria?

Each rating team's classifications are based on various factors such as guest satisfaction, safety, and cleanliness. For example, all Five Star Alliance hotels must meet specific requirements in order to gain ratings, including maintaining high satisfaction in the customer base.

What is the star rating for scan 2024?

24, 2024—SCAN Health Plan, one of the nation's largest and fastest growing not-for-profit Medicare Advantage plans, announces that the Centers for Medicare and Medicaid Services (CMS) has increased SCAN's 2024 star rating in California to 4.0 stars*, which is higher than its original star rating announced in fall 2023.

What is the star rating cycle?

The CMS Star Ratings Cycle

During the second year — the reporting year (“RY”) — the CMS evaluates the previous year's performance data. The third year is the Star Year (“SY”), which is when the Star Ratings are officially assigned. In the fourth year — the quality bonus payment (“QBP”) year.

What is the star Review Scale?

Star ratings are a type of rating scale using a star glyph or similar typographical symbol. It is used by reviewers for ranking things such as films, TV shows, restaurants, and hotels. For example, a system of one to five stars is commonly used in hotel ratings, with five stars being the highest rating.

What are the three quality indicators?

Quality measurement is important to stakeholders in providing valid information for improvement, and has been associated with hospital accreditation in most countries. The commonly used categories of indicators are structure, process, and outcome.

What are the five star rating data sources?

CMS uses five main sources to determine the Star Rating measures: (1) CMS administrative data on plan quality and member satisfaction, (2) the Consumer Assessment of Healthcare Providers and Systems (CAHPS), (3) the Healthcare Effectiveness Data and Information Set (HEDIS), (4) the Health Outcomes Survey (HOS), and (5) ...

How are star ratings measured?

- Ratings are calculated from points that are assigned to the results of nursing home surveys over the past three years, as well as complaint surveys from the past three years and survey revisits. More recent surveys are weighted more heavily.

What is the star rating range?

Star Rating of Commercial Buildings: Launched by the Ministry of Power in India in 2009 the programme is based on the energy usage in the building over its area expressed in kWh/sqm/year. In this program, buildings are rated on a 1-5 scale, with 5-star labeled buildings being the most efficient.

What is the 5-star rating scale labels?

The concept is simple: customers are asked to rate a product, service, or experience on a scale of 1 to 5 stars. The specific meanings of the 5-star rating scale labels may vary depending on the survey, but in general, ⭐⭐⭐⭐⭐​​ represent excellent or outstanding performance, while ⭐ points to a poor experience.

What are the CMS star ratings measures?

The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system — the Star Rating Program. Health plans are rated on a scale of 1 to 5 stars, with 5 being the highest.

What is the performance rating scale?

Performance rating scales are a standardized tool for assessing an employee's job performance based on predetermined criteria or expectations. These evaluations allow organizations to measure how effectively employees fulfill their job responsibilities and contribute to the company's objectives.

What is the star model for performance review?

It's based on three simple components: ST: Situation/Task - Explain the situation or task so others understand the context. A: Action - Give details about what you or another person did to handle the situation. R: Result - Describe what was achieved by the action and why it was effective.

What are the HEDIS star measures?

What are Star Ratings? Star Ratings is a similar tool that measures health plan effectiveness. Unlike HEDIS, which measures all healthcare plans, Star Ratings are applicable to Medicare Advantage plans and Medicare Part D Prescription Drug plans.

What is the AMR measure?

Measure description: This measure captures the percentage of members 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year. Ask the patient about their health goals and preferences.

What are the 5 domains of HEDIS?

HEDIS® includes more than 90 measures across 6 domains of care:
  • Effectiveness of Care.
  • Access/Availability of Care.
  • Experience of Care.
  • Utilization and Risk Adjusted Utilization.
  • Health Plan Descriptive Information.
  • Measures Reported Using Electronic Clinical Data Systems.