HIT Consultant July 15, 2025
As they navigate complex times, health insurers have their eye on two important financial indicators. And both are moving in the wrong direction. Costs are on the rise while Medicare Star Ratings are on the decline.
Separate but related, the two trends converge on the same idea: health plans need to enable higher quality care at a lower price.
If it sounds like a Herculean feat, that’s because it is. But some health plans are making it happen.
While some of the cost pressures—for example, the price of new drugs—cannot be quickly or easily mitigated, others can be.
This includes health plans’ Star Ratings, a system developed by the Centers for Medicare & Medicaid Services (CMS) to evaluate and...
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