Attachment 1 CMS STAR rating.xlsx

XLSX spreadsheet 20 KB Posted

Attached to
T3093 - SHBP and SEHBP Medicare Advantage Plans
Solicitation number
19DPP00265
Issued by
Mercer County, New Jersey

About this file

This document is an attachment to a solicitation issued by the State of New Jersey for its State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) Medicare Advantage plans. The solicitation, Bid Solicitation 19DPP00265, requests vendors to provide their Centers for Medicare & Medicaid Services (CMS) STAR ratings for the 2017, 2018, and 2019 calendar/payment years. Vendors are required to list the geographic areas covered by their MA HMO plans, the number of current SHBP/SEHBP Medicare Advantage members that would be covered, and the corresponding STAR ratings for each year. This analysis is specific to the current SHBP/SEHBP Medicare Advantage population, and does not include Medicare Supplement members.

The contract opportunity is for the SHBP and SEHBP Medicare Advantage plans, which cover the jurisdictions of Mercer County and Trenton City, New Jersey. No other pricing, set-aside, incumbent, or funding information is provided in the attachment.

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Attachment 2 PPO CMS ACCESS Match.xlsx XLSX spreadsheet
T3093 Amend 2 QA Final.docx DOCX document
T3093 SHBP RFP 6-8-18~1.docx DOCX document
T3093 Offer and Acceptance Page 060818~1.pdf PDF
T3093 Bid Solicitation Checklist 060818.docx DOCX document
Med Adv_Pricing 5718.xlsx XLSX spreadsheet
Attachment 3 Service Area Match.xlsx XLSX spreadsheet
Attachment 4 Statement of Assurances.docx DOCX document
T3093 SHBP RFP 6-19-18.docx DOCX document
T3093 SHBP RFP 6-29-18.docx DOCX document
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STAR Ratings

T3093 - State Health Benefits Program and School Employees Health Benefits Program Plans – Medicare Advantage PlansYesYes
Bid Solicitation 19DPP00265
CMS STAR Ratings

Vendor's {Bidder's} Name

Instructions: Provide the organization's Medicare Advantage CMS STAR rating for each of the following calendar/CMS payment years in the gold shaded areas below. For the MA HMO, list the areas covered by the HMO, the number of SHBP/SEHBP current Medicare Advantage members (PPO and HMO, based on the census data for current MA members) that would be covered, and the STAR rating for each. Add additional rows as necessary.
Note: This analysis is requested for the current SHBP/SEHBP Medicare Advantage population only. Current Medicare Supplement members do not need to be included.
CMS STAR RatingSTAR Rating for 2017 (Published October 2015)STAR Rating for 2018 (Published October 2016)STAR Rating for 2019 (Published October 2017)
National Open Access MA PPO
MA HMO Contract Name/AreaNumber of SHBP/SEHBP Current MA PPO Members covered by Contract AreaNumber of SHBP/SEHBP Current MA HMO Members covered by Contract AreaSTAR Rating for 2017 (Published October 2015)STAR Rating for 2018 (Published October 2016)STAR Rating for 2019 (Published October 2017)

ATTACHMENT 1

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File details come from the government source that posted it. Updated .