Becker's Healthcare October 7, 2022
Experts predicted a decline in CMS Medicare Advantage ratings because of methodology changes and the end of relaxed standards to account for pandemic tumult.
CMS released the 2023 Medicare Advantage ratings Oct.6, and those predictions came true as many payers saw their plans take a hit.
Plans with four or more stars are eligible for quality bonus payments from CMS — and plans that drop below that level will lose money.
Aetna’s National PPO plan, a large Medicare Advantage plan covering 1.9 million members, received a 3.5 star rating for 2023, down from four stars in 2022, parent company CVS Health said in a regulatory filing.
In the filing, the company said it expects to be...
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