Monday, November 2, 2020

Average PDP Star Rating Gets Minuscule Bump

Approximately 98% of Medicare beneficiaries who sign up for a stand-alone Prescription Drug Plan (PDP) in 2021 will be in contracts rated 3.5 stars or higher, compared to 70% in the 2020 plan year, CMS estimated recently based on current enrollment figures. The average star rating for stand-alone PDPs rose just slightly to 3.58 in 2021 from 3.5 in 2020. However, only five PDP contracts received a 5-star rating, covering 0.13% of the PDP enrollees. One of the top five PDP sponsors, Centene Corp.-owned WellCare Health Plans, had 59% of its members enrolled in a 4-star contract. CVS Health Corp.'s SilverScript Insurance Company, the largest PDP sponsor, had all of its enrollees in a plan with 3.5 stars.

 

Average PDP Star Rating Gets Minuscule Bump

 

NOTE: Map shows only non-employer-group health plan counties.

SOURCES: CMS. Visit https://go.cms.gov/35eLdsU. AIS’' Directory of Health Plans, as of September 2020.


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