MedCity News April 17, 2024
The challenge? Maintaining high Star Ratings or improving upon existing ratings gets increasingly difficult over time.
For health insurance payers, achieving success in Medicare Advantage (MA) hinges on the Stars. Higher Star Ratings not only drive enrollment and retention (with 74% of MA-PD members currently enrolled in contracts boasting 4-stars or higher) but also contribute to increased revenues through bigger bonuses and rebates (with an expected increase in bonus payments totaling $13.8 billion in MY2024). The challenge? Maintaining high Star Ratings or improving upon existing ratings gets increasingly difficult over time.
Every year, alterations to the Star Ratings methodology introduce a fresh round of adjustments for Medicare Advantage plans to navigate. 2024 was no different. CMS made significant changes, including...
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