Access to Primary Care Doctor Visits
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Medicare Advantage (Part C) and Part D Star Ratings
Type of Quality Indicator
Outcome
IOM Quality Dimension
Efficiency
Domain
Service Delivery and Care Planning
Defining Attributes
Definition
The percentage of members 20 years and older (denominator) who had an ambulatory or preventive care visit during the measurement year (numerator).
Numerator
The number of members 20 years and older who had an ambulatory or preventive care visit during the measurement year.
Denominator
The total number of members 20 years and older during the measurement year.
Exclusions
None
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Standardised clinical data
Data Collection Methods
HEDIS Label: Adults' Access to Preventive/Ambulatory Health Services (AAP)
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reported on www.medicare.gov/plan-compare/
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025
Actions
Date Modified 23 July 2025