ACA, CMS Quality Rating System, Quality, Quality of Care

CMS’s Health Insurance Exchange Quality Rating System (Aug. 2021)

the Patient Protection and Affordable Care Act (PPACA) directs the  U.S. Department of Health & Human Services (HHS) Secretary to develop a system that rates qualified health plans (QHPs) based on relative quality and price.

It also requires Marketplaces to display QHP quality ratings on Marketplace websites to assist in consumer selection of QHPs.

QHP issuers must submit quality rating information (specifically QRS clinical measure data and QHP Enrollee Survey response data) for its QHPs in accordance with CMS guidelines as a condition of certification and participation in the Marketplaces.

The following documentation is listed

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