About the Marketplace Quality Initiatives
The Patient Protection and Affordable Care Act (PPACA) authorizes the creation of Health Insurance Exchanges (Exchanges) (also known as Health Insurance Marketplaces) to help individuals and small employers shop for, select, and enroll in high quality, affordable private health plans. Only qualified health plans (QHPs) may be offered within the Exchanges.
The PPACA requires the U.S. Department of Health & Human Services (HHS) to develop quality data collection and reporting tools and set QHP quality-related certification standards such as a Quality Rating System (QRS), a Quality Improvement Strategy (QIS), an enrollee satisfaction survey system and patient safety standards. Health care quality information will inform consumer selection of a QHP, decisions about QHP certification, and the Federal and State Exchanges’ monitoring of QHP performance.
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