Oliver Wyman October 27, 2025
Martin Graf and Dan Hassing

Key trends in the Stars ratings for 2026 include the difficulty in attaining four or more stars. Looking ahead, changes to measures will force plans to adapt.

There are a lot of stories inside the Medicare Advantage Stars data for 2026. Most noticeable is the fact that insurer ratings remained relatively flat from 2025 and earning four-plus stars — along with the coveted bonus payment — remains elusive. Digging deeper though, we see trends that continue to reshape the Medicare Advantage market, including the improved performance of provider-sponsored plans and limited options for beneficiaries in rural communities.

As insurers continue to exit markets and reduce plan offerings, Star ratings take on heightened importance for seniors on their shopping journey. There...

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