McKinsey August 13, 2024
Cara Repasky, Anna Buchholtz, Ava Clarke, Sonja Pedersen-Green, and Will Lyle

The Medicare Advantage program is undergoing its biggest shifts in more than two decades. Payers can take steps now to mount a strategic, agile response as the changes unfold.

An increased emphasis on clinical and health equity measures, while staying strong on member experience, is critical to secure 4+ stars and to bolster the overall Medicare Advantage strategy.

As Medicare Advantage (MA) payers continue to be buffeted by regulatory and market changes that could dampen margins, payer leaders should not lose sight of the importance of investing now to stabilize their businesses for the long run. A critical area of focus for leaders should be the Medicare Advantage Star Ratings program. While 4+ star performance is becoming table stakes, plans...

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