Cracking the Code to 2025 CMS Start Ratings

Lexology August 30, 2024
FTI Consulting Inc

Key Measures and Strategic Insights

Are you prepared for the coming additions to Centers for Medicare and Medicaid Services (“CMS”) Medicare Advantage (“MA”) Star Ratings Measures? Beginning on January 1, 2025, CMS is implementing additions and changes that will impact 2027 Star Ratings. As such, MA Plans and providers must ensure they are fully prepared to identify beneficiaries for which these new measures apply and develop strategies to address their care needs — and time is ticking. Health plans that struggle with low margins need to perform well on Star Ratings, and the potential financial repercussions of non-compliance can have a serious and lasting impact on a health plan’s profitability.¹

At stake is approximately $16 billion in additional Star bonuses.²...

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