Quality Payment Program

Policy Definition: The Quality Payment Program is a quality payment incentive program  required by The Centers for Medicare and Medicaid Services (CMS) rewards value and outcomes in one of two ways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Performance is measured through the clinician reported data in four domains: Quality, Improvement Activities, Promoting Interoperability (formerly Advancing Care Information), and Cost. source & source

Medicare Advantage Star Ratings

Policy Definition: Medicare Advantage Star Ratings is the evaluation system for Medicare Advantage Plans. Plans are evaluated on performance across five categories while Part D plans are rated on four areas. The ratings include metrics such as quality of care and patient satisfaction. Plans are rated from one to five stars in all categories, then given an overall rating. source