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Health Insurance Marketplace Quality Initiatives

Spotlight News

  • CMS released the Quality Rating Information Bulletin to announce that public display of quality rating information by all Exchanges, including Federally-facilitated Exchanges (FFE), inclusive of FFE states where the state performs plan management functions, State-based Exchanges on the Federal Platform (SBE-FPs), and State-based Exchanges (SBEs) that do not use HealthCare.gov will begin during the Open Enrollment Period (OEP) for the 2020 Plan Year.
  • CMS has posted the Plan Year 2019 Nationwide Quality Rating System PUF which includes underlying measure data (i.e., measure rates and denominators) as well as star ratings for all eligible Qualified Health Plan (QHP) issuers, operating in all Exchange types, that received QRS star ratings for Plan Year 2019. The nationwide QRS PUF is primarily intended for researchers, but may also be used by consumer groups, states or other entities. CMS intends to provide a similar nationwide QRS PUF on an annual basis and to promote transparency of data to the public. CMS has also posted the Health Insurance Exchanges QRS Program for Plan Year 2019: Results At-A-Glance, which summarizes the QRS ratings for the 2019 Plan Year, including a summary of QRS reporting and QRS scoring eligibility for the 2019 Plan Year.

QRS:

QHP Survey:

  • CMS has posted the 2019 Qualified Health Plan Enrollee Experience Survey and the templates for all survey materials.

  • Please seek further information for the QHP Survey on the QHP Survey Page located here.

QIS:

Upcoming Deadlines and Events


QRS/QHP Enrollee Survey deadlines for issuers

QHP issuers, Marketplace administrators, and CMS preview the 2019 QHP quality rating information and QHP Enrollee Survey results.

August 2019
QIS deadlines

First QHP Application Submission Window Closes.

June 19, 2019

Second QHP Application Submission Window Closes.

August 21, 2019

Resources

Marketplace Quality Initiatives Listserv
We encourage you to let others know about the CMS Marketplace Quality Initiatives, and to share its messages. Subscribe to Marketplace Quality Initiatives Listserv to be included in future communications and updates.

 Marketplace Service Help Desk (MSD) (reference “Marketplace Quality Initiatives”):
CMS_FEPS@cms.hhs.gov or 1-855-CMS-1515 (1-855-267-1515)

Registration for Technical Assistance Portal (REGTAP)
http://REGTAP.info

Center for Consumer Information and Insurance Oversight (CCIIO) website:

https://www.cms.gov/cciio/