Measuring Plan Quality

Participatory feedback session for Center for Medicare and Medicaid Services Quality Rating System.


The Affordable Care Act requires that Health and Human Services develop a Quality Rating System to help citizens, plans, and public officials compare health plan quality. We conducted a participatory session at the 2018 Medicaid Managed Care Congress to gather feedback from these stakeholders and understand how the new QRS could best inform quality decisions and how it might fall short.


We guided participants through five small-group activities to prompt both tactical and conceptual feedback. We used a combination of worksheets and moderated discussion to capture both in the moment reflections and detailed written information to analyze after the session.

Session findings included features needed for broad buy-in of QRS usefulness and will inform the design of future versions of the QRS.


Policy research organization


Primary role: Research synthesis and presentation

Secondary roles: Graphic design & presentation design

Project team 

Design strategist, behavior change designer,  visual designer, researcher


Design skills used

  • Research synthesis: participant responses
  • Presentation design: findings report
  • Graphic design: session worksheets