Almost 23 percent of Medicare Advantage-prescription drug contracts and 14 percent of Part D contracts earned four stars in 2024. On the other hand, nearly a third of Medicare Advantage plans and 52 percent of Part D plans earned three stars or less. Non-profit organizations were...
The Centers for Medicare and Medicaid Services has released the Medicare Advantage, Part C and Medicare Part D Star Ratings that rank MA plans by the quality of health and drug services received by consumers. Thirty-one contracts for both Medicare Advantage and the Part D drug plan earned...
Fewer 4.0+ Star Plans: The number of Medicare Advantage plans earning 4.0 stars or higher has declined, dropping from 242 plans in 2024 to 209 in 2025. This decline means fewer plans will benefit from the quality bonus payments associated with higher Star Ratings. ...
Evercore ISI notes that New Star quality ratings for Medicare Advantage plans went live on the Plan Finder, visible to seniors currently making their plan selections for 2024 but more importantly affecting reimbursement levels and relative competitiveness for the 2025 plan year. Overall, ...
The Centers for Medicare & Medicaid Services (CMS) created a Star Rating system to help beneficiaries and their families compare plan performance and quality for Medicare Advantage plans, Medicare Prescription Drug Plans, and Medicare Cost plans.
CMS will recalculate star ratings for Medicare Advantage plans following insurer victories in SCAN and Elevance suits last week, and it will release plans for bid resubmission in the coming days, SCAN Health Plan officials told Inside Health Policy on Thursday. SCAN officials learned of CMS’ ...
Cindy Henry, director of population health informatics at ZeOmega, says the program is still rebounding from COVID-19 provisions, but CMS – in incentivizing quality improvements – is raising the bar to reach top ratings.
In June 2024, a US district court judge ruled that the Centers for Medicare and Medicaid Services (CMS) inappropriately calculated Medicare Advantage (MA) Star ratings due to not implementing a previously announced statistical adjustment. As a result, CMS recalculated all MA star r...
In June 2024, a US district court judge ruled that the Centers for Medicare and Medicaid Services (CMS) inappropriately calculated Medicare Advantage (MA) Star ratings due to not implementing a previously announced statistical adjustment. As a result, CMS recalculated all MA star r...
The challenge that this health plan was looking to take on was to increase health screenings among at-risk members while also improving the star ratings for their Medicare Advantage programs. To meet the challenge, we first helped the health plan to identify their at-risk...