member satisfaction
mbr_sat_scrDefinition
ISO-11179 Definition
A quantitative measure of health plan member overall contentment with their insurance coverage, care access, provider network, and customer service interactions, collected through structured surveys and used in quality performance reporting and value based payment programs. Member satisfaction encompasses multiple dimensions including satisfaction with the choice of providers in the network, ease of getting referrals and authorizations, quality of customer service from the health plan, clarity of benefit explanations and bills, and overall value received from the coverage. CMS CAHPS member satisfaction data feeds directly into Medicare Advantage Star Ratings, where plan ratings of member experience can determine whether a plan achieves quality bonus payment status.
Healthcare data teams track mbr_sat_scr trends over time, segment satisfaction data by member demographics to identify populations with systematically lower satisfaction, correlate satisfaction drivers with operational metrics, and measure the impact of member experience initiatives on satisfaction scores across subsequent survey administrations.
Standard Abbreviation
mbr_sat_scr
Category
Production DDL — FACT_QUALITY_MEASURE
CREATE OR REPLACE TABLE FACT_QUALITY_MEASURE (
qlty_key INTEGER NOT NULL -- surrogate key,
mbr_key INTEGER NOT NULL -- FK to DIM_MEMBER,
plan_key INTEGER NOT NULL -- FK to DIM_PLAN,
meas_yr SMALLINT -- measurement year,
hedis_meas_cd VARCHAR(20) -- HEDIS measure code,
denom_ind CHAR(1) -- denominator eligible,
numer_ind CHAR(1) -- numerator met,
excl_ind CHAR(1) -- exclusion indicator,
gap_open_ind CHAR(1) -- care gap open,
star_rtg_nbr DECIMAL(3,1) -- star rating,
qlty_scr DECIMAL(5,2) -- quality score,
perf_thrsh_pct DECIMAL(5,2) -- performance threshold,
raf_scr DECIMAL(10,3) -- risk adjustment factor,
outreach_cnt SMALLINT -- outreach attempts,
load_dt TIMESTAMP_NTZ NOT NULL -- load timestamp
);
Standard Snowflake DDL for the canonical quality table. Convert to BigQuery or Databricks →
Why This Term Matters
Quality measure data determines how payers and providers are rated and reimbursed under CMS Stars, HEDIS, and value-based care contracts. Data engineers who understand quality terminology build measure calculation pipelines that correctly attribute patients, apply denominator exclusions, and flag documentation gaps before submission deadlines. Incorrect quality data directly affects star ratings, pay-for-performance bonuses, and Medicare Advantage plan bids.
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