Care Co-Ordination
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Marketplace Quality Rating System
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Consumer Experience
Defining Attributes
Definition
Enrollee experience related to the following: Doctor had medical records, Doctor followed up about blood test, x-ray results, Got blood test, x-ray results as soon as needed, Doctor talked about prescription drugs, Got help you needed from doctor's office to manage care among different providers, Doctor seemed informed and up to date about care from other health providers.
Numerator
Denominator
Exclusions
Enrollees under age 18 as of December 31, enrollees who did not meet the continuous enrolment criteria (July-Dec) or who switch to a different QHP for the subsequent plan year, enrollees who are deceased and members who have not sought health care in the last six months.
Use of Risk Adjustment
No
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Surveys
Data Collection Methods
QHP Enrollee Survey
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
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
02 December 2025
Contents
Actions
Date Modified 02 December 2025