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

marketplace-qualityrating.json Raw ↑
{
  "$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"
}

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