Becker's Healthcare September 29, 2025
By: Yoona Kim, PharmD, PhD, Co-Founder and CEO of Arine

With the release of CMS Star Ratings for 2026 and updates for the upcoming year, Medicare Advantage and Part D plans are navigating an evolving quality landscape. Adherence measures are shifting from triple- to single-weighted and will incorporate risk adjustment, while the MTM Program Completion Rate for CMR enters its second year as a display measure under expanded eligibility criteria. Plans are also still learning what drives success for the new polypharmacy measures.

On the surface, this might suggest medication-focused strategies can be deferred until the 2027 measure year. In reality, doubling down on a smart medication strategy is one of the most important moves a plan can make right now.

Here’s why.

The Pressure of Rising Cut Points and...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage
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