This annual opportunity measures how much you moved the needle from last year’s results. Even if you didn’t meet the 3.75 minimum requirement needed to earn the Average Star Rating Bonus, you can earn a bonus for improved performance when you increase your 2024 Average Star Rating from your 2023 Average Star Rating by at least 1.00 Star Rating.
You’ll receive whichever payment is greater — either the Average Star Rating or the Average Star Rating Improvement.
MA-PCPi Average Star Rating increase | Payment amount |
---|---|
At least 1.00 | $50 per member per year (PMPY) |
2024 Star Rating ID | Measure | Measure performance percentage | Quality rating | MA-PCPi weight | MA-PCPi weighted quality rating |
---|---|---|---|---|---|
C01 | Breast Cancer Screening (BCS-E) | 72% | 4 | 1 | 4 |
C02 | Colorectal Cancer Screening (COL-E) | 84% | 5 | 1 | 5 |
C09 | Eye Exam For Patients with Diabetes (EED) | 77% | 4 | 1 | 4 |
C10 | Glycemic Status Assessment for Patients With Diabetes (GSD) | 72% | 3 | 3 | 9 |
D08 | Medication Adherence for Diabetes Medications (MAD) | 89% | 4 | 3 | 12 |
D09 | Medication Adherence for Hypertension (RAS Antagonists) (MAH) | 86% | 3 | 3 | 9 |
D10 | Medication Adherence for Cholesterol (MAC) | 89% | 4 | 3 | 12 |
D12 | Statin Use in Persons with Diabetes (SUPD) | 90% | 5 | 1 | 5 |
C16 | Statin Therapy for Patients with Cardiovascular Disease (SPC) | 88% | 4 | 1 | 4 |
N/A | Getting needed care | 90% | 3 | 2 | 6 |
N/A | Care coordination | 88% | 3 | 2 | 6 |
Total | 21 | 76 | |||
In this example, the Average Star Rating for the 2024 program year would be 3.62. |
How to read the example
Your practice can earn an Annual Care Visit Improvement Bonus when you increase your 2024 ACV completion percentage compared to your 2023 ACV completion percentage.
You’ll receive whichever payment is greater — either increasing your 2024 ACV completion percentage compared to your 2023 ACV completion percentage by 10 percentage points or more, or reaching a completion percentage of at least 90%.
Annual Care Visit (ACV) improvement threshold | Payment for Annual Care Visit (ACV) improvement (per completed ACV for a MA-PCPi Customer as noted in the final reporting) |
---|---|
Improvement of 10—19.9 percentage points | $100 |
Improvement of 20 percentage points or greater | $150 |
Completion of 90% or greater | $100 |