PQA Measure Use in the Health Insurance Marketplace Quality Rating System

The Health Insurance Marketplace Quality Rating System (QRS) measure set for Qualified Health Plans for 2026 (Measurement Year 2025) includes the following PQA measures:

  • Proportion of Days Covered: 3 Rates (PDC) 
    • Renin Angiotensin System Antagonists (RASA)
    • Diabetes All Class
    • Statins
  • International Normalized Ratio for Individuals on Warfarin (INR)
  • Annual Monitoring for Persons on Long-Term Opioid Therapy (AMO)
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PQA Measure Descriptions and FAQs

Updated May 2025