CMS issues sources sought for Analysis Related to Medicare Advantage and Part D Contract Star Ratings

CMS is committed to continuing to improve the Parts C and D quality and performance measurement system to increase the focus on improving beneficiary outcomes, beneficiary experience, population health, and efficiency of health care delivery. To that end, CMS has been working to develop a more robust system to measure quality and performance of MA and Part D contracts. As new measures are developed and adopted, CMS incorporates them into the Star Ratings published each year on the Medicare Plan Finder website.

Currently, Medicare Advantage with prescription drug coverage (MA-PD) contracts are rated on approximately 46 unique quality and performance measures, MA-only contracts (without prescription drug coverage) are rated on approximately 34 measures, while Part D contracts are rated on approximately 14 measures. Each year, CMS conducts a comprehensive review of the measures that make up the Star Ratings, taking into consideration the reliability of the measures, clinical recommendations, feedback received from stakeholders, and data issues…

At a minimum, the following knowledge and experience are required:

  • Expertise in project management of large scale projects with the ability to manage multiple tasks
  • Prior experience using large data sets with sensitive data and merging data from multiple sources
  • Ability to store, retrieve, transmit, and analyze data files
  • Experience analyzing and manipulating complex data for public reporting on high visibility, high traffic websites.

Read more here.

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