Fierce Healthcare June 2, 2020
The Trump administration’s effort to lower the administrative burden on providers may have an inadvertent effect on calculating star ratings for Medicare Advantage plans, insurers say.
Insurers and advocacy groups wrote to the Centers for Medicare & Medicaid Services on an interim final rule that outlined changes to MA plans due to the pandemic. Several insurer groups and individual payers were concerned about how CMS plans to calculate the star ratings for the 2021 and 2022 plan years, which affect reimbursement for plans.
CMS decided to pause the ongoing data collection surveys used to calculate the 2021 star ratings, including the Consumer Assessment of Healthcare Providers and Systems and Healthcare Effectiveness Data and Information Set.
The decision was to lower...
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