Centers for Medicare and Medicaid Services · Schema

QualityRating

Schema for QualityRating from CMS Marketplace API

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
available	boolean	True if the plan has a quality rating, otherwise false. A plan can still be unrated when the quality rating is available
year	integer
global_rating	integer
global_not_rated_reason	string
clinical_quality_management_rating	integer
clinical_quality_management_not_rated_reason	string
enrollee_experience_rating	integer
enrollee_experience_not_rated_reason	string
plan_efficiency_rating	integer
plan_efficiency_not_rated_reason	string

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "QualityRating",
  "description": "Schema for QualityRating from CMS Marketplace API",
  "properties": {
    "available": {
      "type": "boolean",
      "description": "True if the plan has a quality rating, otherwise false.  A plan can still be unrated when the quality rating is available"
    },
    "year": {
      "x-example": 2019,
      "type": "integer"
    },
    "global_rating": {
      "type": "integer",
      "minimum": 0,
      "maximum": 5
    },
    "global_not_rated_reason": {
      "type": "string"
    },
    "clinical_quality_management_rating": {
      "type": "integer",
      "minimum": 0,
      "maximum": 5
    },
    "clinical_quality_management_not_rated_reason": {
      "type": "string"
    },
    "enrollee_experience_rating": {
      "type": "integer",
      "minimum": 0,
      "maximum": 5
    },
    "enrollee_experience_not_rated_reason": {
      "type": "string"
    },
    "plan_efficiency_rating": {
      "type": "integer",
      "minimum": 0,
      "maximum": 5
    },
    "plan_efficiency_not_rated_reason": {
      "type": "string"
    }
  },
  "type": "object"
}