Marketplace Quality Rating System (QRS) Audit and Support

Marketplace Quality Rating System (QRS) Audit and Support

Advent is conducting audits of organizations required to submit data to the Centers for Medicare & Medicaid Services (CMS) under the Affordable Care Act (ACA).

Providing Value-Based and Results-Oriented Audits

All Qualified Health Plan (QHP) issuers operating a Health Insurance Marketplace (including CO-OPs) must report both the Quality Rating System (QRS) measures and the QHP Enrollee Experience Survey by state and product type. QHP issuers with more than 500 enrollees as of July 1 are required to collect and submit audited data to CMS.


Advent is recognized within the industry as the leading NCQA-licensed organization. We offer value-based, results-oriented compliance audits designed to help drive Marketplaces to improve QRS measure results and enrollee satisfaction.


Resources

Additional CMS resources regarding QRS reporting can be found on CMS’ website for QRS quality reporting.

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