PQA Measure Use in the Health Insurance Marketplace Quality Rating System

The 2021 Health Insurance Marketplace Quality Rating System (QRS) (Measurement Year 2020) measure set for Qualified Health Plans 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)

Request PQA Value Sets for the 2021 QRS (MY 2020) here. 

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.