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CMS revised Medicare Advantage Star Ratings.

Here’s which payers benefited. Rebecca Pifer | Senior Reporter   More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a […]

By: Marilyn Schultz

Here’s which payers benefited.

Rebecca Pifer | Senior Reporter

 

More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

Dive Brief:

  • More than 60 Medicare Advantage health plans offered by 40 insurers received a higher star rating for 2024 after the CMS was forced to recalculate the scores, according to a Healthcare Dive analysis of new government data.
  • The CMS published the new quality scores for plans in the privately run Medicare program last week after losing two court cases about how it previously calculated the ratings, which underpin massive bonuses for insurers in MA.
  • Thirteen additional health plans — including some offered by insurance giants CVS, UnitedHealth, Elevance and Centene — passed the four-star threshold after regulators reran the scores, meaning they’re eligible for the maximum bonus payment next year. The changes also benefited smaller insurers like Scan Health Plan, which brought one of the lawsuits against the CMS over its original ratings calculations.

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