Healthcare DIVE August 18, 2025
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While plans are still grappling with last year’s significant changes to The Center for Medicare and Medicaid Services (CMS) 2025 Star Ratings, more change is on the way. The new administration and Dr. Mehmet Oz, as leader of the CMS, have pledged stricter scrutiny of insurers and have indicated that more measures are on the horizon. For Medicare Advantage plans, this summer is a pivotal period to adapt amid uncertainty.
The Revenue Impact of 2024 Star Ratings Changes
The 2024 star ratings saw significant changes that impacted Medicare Advantage plans’ revenue. The average star rating decreased from 4.14 to 4.04, resulting in an approximately $1 billion reduction in quality bonus payments. The number of five-star plans...
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