November 11, 2024
Medicare Advantage (MA) remains the only federal health care program that measures and rewards high-quality care. For the more than 33 million seniors enrolled in a plan, finding high-quality coverage is fundamental. While recent changes to the star rating program make it harder for health plans to receive quality bonuses, the changes do not necessarily improve quality.
The MA star rating program was designed to improve health outcomes and encourage competition among plans by evaluating performance on a five-star scale. Ratings, based on factors including patient satisfaction, preventive services and chronic disease management, allowed consumers to compare quality across available options. While well-intentioned, the ratings are outdated and do not necessarily reflect the quality of care.
Read more on MAforTomorrow.org →
New from ACHP:
- ACHP Recommendations for an Inferred Risk Adjustment Model
- ACHP Members Lead 2027 Star Ratings and NCQA Ratings
- ACHP Urges CMS to Align State Directed Payment Policy With Plans’ Financial Risk
- Strengthening Medicare Advantage in 2028: ACHP Recommendations to CMS
- ACHP Comments on Senate Finance Health Coverage RFI
- Sens. King, Curtis Named ACHP’s 2026 Legislative Champions
