HealthExec February 23, 2021
Amy Baxter

Higher star ratings may be associated with better patient outcomes in Medicare Advantage plans, according to a study published in Health Affairs. The findings offer some insight into how the star rating system works when it comes to measuring quality of care.

MA star ratings, which were introduced in 2008, range from two to five stars and aim to rank plans based on quality. The Centers for Medicare and Medicaid Services uses star ratings to assess bonuses and penalties, as well as to share with the general public.

Since 2012, CMS has tied payment bonuses to star rating to bonuses, with MA contracts that are rated four or more stars eligible for an up to 5% bonus on their payments...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider
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