An overview of the CMS Quality Rating System for QHPs

There may be some uncertainty for plans and consumers alike around the Quality Information Rating Bulletin—specifically, what the quality scores represent, how they are developed, and/or how they may be used now or in the future. This paper provides clarity on these topics, some general background on the program, and a summary of the 2019 quality information published by the Centers for Medicare and Medicaid Services in the public use file.