Executive Summary
The Executive Summary is the high level overview for the contract.
Understanding what's on this page using example data:
Contract ID H3333: This identifies the specific Medicare Advantage plan being evaluated.
Stars 2025 Performance Scorecard: The data is aimed at projecting the performance scorecard for the year 2025.
Overall Score - Projected: The plan’s projected overall score is 4.08, with a lower and upper range of 3.85 and 4.53, respectively.
Goal: The plan's goal is to achieve an overall score of 4.55.
Goal Variance: The plan is currently -0.47 points below the goal.
Goal Variance Drivers: It breaks down the variance from the goal into specific categories: CAHPS, HEDIS, HOS, Ops, and Pharmacy, indicating where the plan is falling short or exceeding expectations.
Star Rating Components: This gives a detailed view of projected scores versus goals for various aspects of the plan's performance, including:
Final Overall Rating
Part C Score
Part D Score
Ratings for quality improvement (QI) for both Part C and Part D
Reward Factor
CAI Value (Categorical Adjustment Index)
Measure Set Projected vs. Goal Performance: This section compares the projected performance versus the goal for different sets of quality measures (CAHPS, HEDIS, HOS, Ops, Pharmacy).
Included Data As Of: It indicates that the current data includes information up to November for HEDIS, Operations, and Pharmacy measures, suggesting that these are the latest months for which data is available to inform the projections.
The Executive Summary is useful for plan administrators and stakeholders to assess the performance of the Medicare Advantage plan at a high level. The aim is to identify areas needing improvement and to understand the impact of various factors on the plan's overall quality rating. The information is strategic for quality improvement efforts and may influence consumer choice, as higher-rated plans are often more attractive to beneficiaries.
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