Oliver Wyman March 20, 2024
The new health equity index will impact Medicare Advantage Star Ratings. Helping members enroll in public assistance programs is more important than ever.
Medicare Advantage plans are entering a new chapter for Star Ratings. Beginning this year, plan performance will impact a new health equity index (HEI) that will replace the current reward factor in the Star Ratings program. Data from measurement year 2024 and 2025 will impact Star ratings in 2027.
The HEI is designed to reward MA plans that meet two criteria. First, having a high percentage of MA enrollees with social risk factors (SRF), defined as those enrolled in the income-based programs Medicaid, Medicare Savings Program (MSP), or the Extra Help / Low Income Subsidy (LIS) program,...
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