Becker's Healthcare September 16, 2022
Rylee Wilson

Medicare Advantage plan star ratings hit their highest-ever levels in 2022 — but plans shouldn’t expect these increases to continue, McKinsey analysts warn.

CMS methodology changes and the end-of-pandemic provisions mean star ratings for up to half of Medicare Advantage plans are likely to decline, according to a new report from McKinsey.

Because of the pandemic’s impacts, CMS allowed plans to use the better of historic and current performance data to calculate ratings. The provisions are ending this year, meaning plans that relied on this methodology could see lower ratings.

Plans that fail to maintain their current star ratings could face financial consequences from reduced Medicare bonuses and rebates. McKinsey analysts estimated plans could experience $800 million...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Provider, Survey / Study, Trends
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