Reward Factor Overview
Understanding what's on this page using example data:
Stars 2025 Projected Reward Factor:
Shows that the projected Reward Factor bonus points are currently at 0.00.
Indicates that Quality Improvement (QI) has been applied.
Contract Mean and Variance:
The contract's mean score is 3.41, categorized as too low.
The variance score is 1.46, categorized as high.
Distance to Next Category:
Indicates the distance the contract must move to reach the next category for mean and variance, which are 0.34 and 0.13 points away, respectively.
Next Category:
If the contract improves, the next categories would be "Relatively High" for the mean and "Medium" for variance.
Reward Factor Overview:
Explains that the Reward Factor is an essential component that can improve Star Ratings by adding 10 to 40 extra basis points to the overall score.
The calculation is based on two components: Mean and Variance, and certain thresholds must be met to earn the bonus points.
Reward Factor Thresholds Used in This Model:
Provides the variance and mean thresholds used in the model, with and without QI applied.
It also mentions that the model typically uses the most challenging thresholds provided by CMS from previous years.
How is the Reward Factor Bonus Calculated:
Describes how each contract will be in one of three categories for Mean and Variance to be eligible for the bonus.
The contract must achieve at least "Relatively High" for Mean and "Medium" for Variance.
Bonus Calculation:
Illustrates the bonus points that can be earned based on the Mean and Variance categories.
This screen helps plan administrators understand the significance of the Reward Factor in improving their overall Star Rating and what specific targets need to be hit to gain additional points. It also shows the potential for improvement and where efforts might be most effectively applied. The screen provides actionable data that can guide strategies to enhance the plan's CMS Star Ratings.
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