Becker's Healthcare October 10, 2025
CMS released Medicare Advantage star ratings on Oct. 9, showing an average score of 3.65 for 2026, compared to 3.92 last year.
Plans were evaluated by the agency across 40 quality criteria spanning outcomes, experience, access, operations, and pharmacy. Plans that receive 4 stars or higher earn quality bonus payments that can be used to invest in benefit design and boost 2027 revenue, while persistently low-rated plans can face more oversight and potential contract cancellation.
Eight notes:
1. CMS issued overall ratings for 516 MAPD and MA contracts. Eighteen contracts (3.5%) achieved 5 stars, compared to seven last year and 38 in 2024.
2. CVS Health’s Aetna has more than 81% of its MA members in 4+ star plans...
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