Healthcare Economist September 26, 2024
Jason Shafrin

My FTI colleagues Mark Van Ert and Krunal Patel summarize some of the new quality measures that will be incorporated into the 2025 CMS Star Ratings that are used to evaluate Medicare Advantage (MA) plans. The CMS Star Ratings are very important as CMS payments to MA plans is expected to increase by 3.7% or $16 billion between 2024 and 2025.

Van Ert and Patel describe the CMS ratings cycle as follows:

Star ratings are determined through a four-year process. The first year is the measurement year (“MY”), in which plans collect performance data for various measures, though specific timing can vary — for instance, Consumer Assessment of Healthcare Providers and Systems (“CAHPS”) surveys are conducted at the start...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage
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