MedCity News December 7, 2025
CMS is proposing major changes to Medicare Advantage Star Ratings, drawing mixed reactions from healthcare leaders.
In recent years, there have been numerous lawsuits from Medicare Advantage plans against the Centers for Medicare and Medicaid Services over Star Ratings, including from SCAN Health Plan, Humana and Elevance. MA Star Ratings evaluate plan quality based on several measures, giving them a rating ranging from one to five stars.
Many of these lawsuits were tied to administrative measures that payers claim led to lower ratings for their plans. For instance, issues with customer service phone calls and foreign language interpreters.
Now, CMS is suggesting a major overhaul of the Star Ratings system, particularly around these administrative measures. This has generated mixed...
Today's Sponsors
Today's Sponsor