HealthLeaders Media June 5, 2023
By Laura Beerman

The answer is both as payers benefit unevenly from CMS’ fine turning.

KEY TAKEAWAYS

The 2023 Star Ratings were a rude awakening for many health plans but shouldn’t have been.

Multiple changes sank plan performance but stabilized a program that may be guilty of chronic overpayment.

Either way, billions are on the line with Stars: a program with intersecting objectives that plans can meet if they act strategically.

If you want a front-row seat to the Medicare Advantage (MA) Star Ratings controversy, grab your popcorn and consider the ongoing war of words between healthcare industry veterans.

In one corner, those who defend the program: “MA has an extensive, well-structured, and strongly administered five-star system.”

In...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Payer, Provider
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