Apr. 4 at 3:25 PM
$CLOV
CMS has finalized a rule to eliminate nearly 12 metrics in the Medicare Advantage Star Ratings system.
The move will provide health insurers with more than
$18B over the next decade.
As part of the Star Ratings system, the CMS grades MA plans on a 1 to 5 scale (calculated based on numerous metrics that consider patients’ health outcomes, the level of customer experience, other measures).
This decision is expected to boost the star ratings and, therefore, the financial profile of health insurers focused on the MA market, as healthcare plans with four or more stars receive annual bonus payments from the government.
According to the final CMS regulation released on Thursday, health insurers are expected to gain over
$18 billion as 11 metrics of the Star Ratings system are set to be eliminated when the changes take effect from the 2027 measurement period.
Yep...
