Medicare Advantage Star Ratings Have Fallen Again. How Can Health Plans Reverse the Trend?
CMS has revealed Medicare Advantage star ratings for 2024 and it’s not good news for health plans. Average star ratings have fallen for the second straight year and are at their lowest levels since 2017.
For 2024, around 42% of Medicare Advantage plans with drug coverage earned four or more stars, a decrease of more than 17% from 2023.
The latest data shows that it’s getting harder for payers to achieve the bonus payment level of four stars or higher, in part due to CMS’s changing methodology for calculating star ratings. So, what can health plans do to reverse the downward trend and improve their star ratings for 2025 and beyond?
In a recent interview, Darren Ghanayem, a managing director with AArete’s Healthcare Payer group, told AIS Health that five-star plans are focusing on success strategies including data transparency, digital adoption and operations training.
Read Darren’s full interview here*: https://aishealth.mmitnetwork.com/blogs/radar-on-medicare-advantage/5-star-plans-focus-on-data-transparency-digital-adoption-operations-training-says-aarete
* A subscription to AIS Health’s Radar on Medicare Advantage is required.