Advisory Board June 17, 2024
Mallory Kirby

CMS on Thursday announced that it will review all Medicare Advantage (MA) Star Ratings for 2024, after two court cases found the agency improperly modified the way it assesses quality.

CMS to adjust Medicare Advantage Star Ratings

Any MA plan that earns at least 3.5 out of 5 stars qualifies for a bonus from CMS. This extra funding is important to the MA market strategy of utilizing bonus money from CMS to provide lower out-of-pocket costs and supplemental benefits for patients, Modern Healthcare reports.

Last week, a federal judge ruled that CMS had erred in implementing some of its technical changes for the 2024 Star Ratings, which will affect payments in 2025. The judge ordered CMS to recalculate the ratings...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer
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