Medicare Advantage Insurers Mull Star Ratings Knowns, Unknowns Under Trump Administration
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Jan 02, 2025
From the future of the Health Equity Index to the penalty-free structure of quality bonus payments — which could be viewed as a source of excess expenditures by the incoming administration — Medicare Advantage insurers face a bevy of unknowns this year when it comes to Star Ratings. Industry experts tell AIS Health, a division of MMIT, that basing expectations and business decisions on CMS’s actions during Donald Trump’s first presidency may not be the best course of action.
With President-elect Donald Trump’s return to the White House this month, industry experts have predicted a shift in focus back to member experience measures. In 2020, the first Trump administration finalized a rule that increased the weight of member experience measures based on Consumer Assessment of Healthcare Providers and Systems (CAHPS) and administrative data to 4. CMS under President Joe Biden issued a rule aiming to return the weight of those measures to 2, effective with the 2026 Star Ratings.
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