Commonwealth Fund September 2, 2021
Allison K. Hoffman

Toplines

A judge’s ruling may give Medicare more flexibility in how it calculates star ratings for Medicare Advantage plans — potentially addressing concerns that high ratings don’t equal high quality

Medicare changed how it calculates star ratings for Medicare Advantage plans because of the COVID-19 pandemic, with potential impacts on plans’ enrollment, compensation, and even their continued participation

The Centers for Medicare and Medicaid Services (CMS) annually assigns star ratings of 1 to 5 to Medicare Advantage (MA) plans. These ratings can affect plans’ enrollment, continued participation in MA, and plan compensation. Plans with ratings below 3 stars for three consecutive years can be terminated from the program. Under the Affordable Care Act, plans with higher ratings get additional payments,...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare, Medicare Advantage, Provider
‘Borderline Useless’ CMS Data Needs an Overhaul, Starting with the Addition of Medicare Advantage to Cost Reports
Understanding facility, peer data called crucial to better Medicare Advantage negotiations
Medicare Advantage plan facing termination challenges star ratings methodology
Medicare Advantage Is Still Going Strong
When it comes to Medicare Advantage, couples stick together

Share This Article