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part d star

prt_d_star_rtg
quality·Updated Jun 23, 2026

Definition

ISO-11179 Definition

The CMS summary quality star rating assigned specifically to the prescription drug benefit component of a Medicare Advantage Prescription Drug plan or standalone Part D plan, reflecting performance on medication adherence measures, drug safety indicators, member experience with pharmacy services, and Part D administrative metrics. Part D stars are calculated from medication adherence measures for diabetes medications, hypertension medications, and cholesterol medications, drug safety measures including high-risk medication use in elderly members, member ratings of drug plan performance from CAHPS surveys, and CMS administrative measures tracking formulary accuracy and appeals. Medication adherence measures carry triple weight in Part D star calculations making them the single highest-priority area for quality improvement investment.

Healthcare data teams build Part D star analytics that calculate medication adherence rates using pharmacy claims data, identify members with low adherence who are candidates for medication therapy management outreach, project Part D star ratings under current pharmacy performance trajectories, and model the revenue impact of improving medication adherence rates on Part D star bonus payments.

Standard Abbreviation

prt_d_star_rtg

Category

quality

Production DDL — FACT_QUALITY_MEASURE

FACT_QUALITY_MEASURE.sql
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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