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...
rates the quality ofMedicare Advantageplans, which cover hospitalization, outpatient care, and often prescription-drug coverage. It also rates Part D drug plans, which help to pay for the cost of prescriptionmedicationsfor people not enrolled in a Medicare Advantage plan. So when you’re considerin...
Quality Ratings of Medicare Advantage Plans, 2010," Washington DC: Kaiser Family Foundation,See Jacobson G, Damico A, Huang J, and Neuman T, "Reaching for the Stars: Quality Ratings of Medicare Advantage Plans, 2011," Washington DC: Kaiser Family Foundation, February 2011. Also see Jacobson ...
Additionally, higher star ratings were more common among contracts with more experience in the Medicare Advantage program. For example, Medicare Advantage plans with ten or more years in the program were more likely to have four or more stars compared to contracts with less than fiv...
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 CMS Star Ratings program remains a critical benchmark for Medicare Advantage plans, heavily influencing member enrollment and reimbursement. In 2025, new challenges like higher cut points and post-pandemic utilization trends have added complexity to achieving high Star Ratings. With the introduction...
Medicare Advantage star ratings' 'new normal' 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....
The CMS Star Ratings program remains a critical benchmark for Medicare Advantage plans, heavily influencing member enrollment and reimbursement. In 2025, new challenges like higher cut points and post-pandemic utilization trends have added complexity to achieving high Star Ratings. With the introduction...
Reid and coauthors report on the association between Medicare advantage plan star ratings and enrollment. In an accompanying Editorial, Hoadley discusses
The Centers for Medicare and Medicaid Services (CMS) created a star rating system to help Medicare-eligible individuals and caregivers quickly compare the performance and quality of Medicare Advantage plans and Part D prescription drug plans. This rating system helps Medicare shoppers and caregivers ...