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 2021 (Measurement Year 2020) and 2022 (Measurement Year 2021) 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)

Please note that the PQA Value Sets were redesigned to improve ease of use. For information about the redesign, please refer to the FAQs on our website or the Educational Webinar: PQA Value Sets: A Redesigned Approach.

Request Value Sets for QRS 2021 (MY 2020) or 2022 (MY 2021)
Ask Questions about PQA Measures in the QRS
PQA Measure Descriptions and FAQs