Medicare Advantage Star Ratings

The Fundamentals of Medicare Advantage Star Rating Methodology

by Kelsey Waddill

The way to determine the quality of a Medicare Advantage health plan is simple: look at the five-star rating on the Medicare website. However, the Medicare Advantage Star Rating methodology that...

Agent Tools Offer Information on 43% of Medicare Advantage Plans

by Kelsey Waddill

Agents play a major role in guiding members during Medicare Advantage plan enrollment, but their methods may limit members’ ability to know all of their health plan options, a...

UnitedHealthcare Medicare Advantage Dominates MA Enrollment 2021

by Kelsey Waddill

Increased enrollment in for-profit Medicare Advantage plans drove record-high Medicare Advantage enrollment levels in 2021 with UnitedHealthcare Medicare Advantage plans taking the lead, a...

Consolidated Medicare Advantage Plans See Quality Improvement

by Kelsey Waddill

CMS Medicare Advantage Star Ratings accurately indicate patient outcomes, a Health Affairs study recently confirmed. “Higher star ratings have been found to be associated with increased...

Experts Call For Updated Medicare Advantage Star Ratings Survey

by Hannah Nelson

The survey that informs Medicare Advantage Star Ratings requires modernization to accurately gauge member experience and effectively promote value-based care, according to new research conducted...

MA Plans See 99% Member Satisfaction Among Non-White Members

by Kelsey Waddill

Almost all Medicare Advantage members are satisfied with their Medicare Advantage coverage and nonwhite members report slightly higher member satisfaction, according to a survey commissioned by Better...

4 Positive Trends That Continue to Define Medicare Advantage Plans

by Kelsey Waddill

Four trends have continued to define the Medicare Advantage space in recent years, fact sheets from the Alliance of Community Health Plans (ACHP) revealed. “Congress created Medicare Advantage...

Fewer MA Plans See High Medicare Advantage Star Ratings in 2021

by Kelsey Waddill

If beneficiaries were to choose the same health plan for 2021 as they did for 2020, slightly over 19 percent of Medicare Advantage beneficiaries would be enrolled in plans with a 4.5 Medicare Advantage...

Medicare Advantage May See 2.8% Change in 2022 Revenue, 4.5% Growth

by Kelsey Waddill

Medicare Advantage proposed policy changes may result in a 2.82 percent average change in revenue and 4.55 percent change in growth, projected the CMS calendar year (CY) 2022 Medicare Advantage and...

Surveys, Advanced Analytics Key for Member Experience, Star Ratings

by Kelsey Waddill

As health plans consider how to meet the new Medicare Advantage Star Ratings programs, they will need to design surveys and advanced analytics tools to support their member experience improvement...

21 Part D Plans Rank Tops in 2021 Medicare Advantage Star Ratings

by Kelsey Waddill

CMS has released Medicare Advantage Star Ratings for 2021 and the results demonstrate a continuation of last year’s positive trends. Medicare Advantage health plan quality steadily continued its...

12 Leading Medicare Advantage Payers by 2020 CMS Star Ratings

by Kelsey Waddill

Going into what would be a tumultuous year for Medicare, twelve Medicare Advantage payers proved to be leaders in their field with five-star Medicare Advantage Star Ratings. In a recent post, Matt...

How COVID-19 Policies May Affect Medicare Advantage Star Ratings

by Kelsey Waddill

As the coronavirus pandemic continues to rage across the US, the payer industry must consider how the current environment will affect Medicare Advantage Star Ratings for years to come. The industry may...

CMS Expands Telehealth, Rural Plan Options for Medicare Advantage

by Kelsey Waddill

CMS has finalized changes to Medicare Advantage and Medicare Part D telehealth policies and supplemental chronic disease management benefits. The agency has also expanded Medicare Advantage for rural...

Medicare Advantage Enrollment, Quality Continue Upward Trend

by Kelsey Waddill

Medicare Advantage plans are continuing along a trend of burgeoning enrollment and rising quality, although costs for certain services may be more expensive than traditional Medicare, according to...

CMS Finalizes MA and Part D Rates, Leaves ESRD Rule Unchanged

by Kelsey Waddill

CMS has finalized its Medicare Advantage and Part D rates, including finalizing the disputed Medicare Advantage end-stage renal disease (ESRD) payment rule without changes. CMS anticipates a slight...

How CMS Can Standardize Prior Authorization Using MA Star Ratings

by Kelsey Waddill

In its comments on the CMS advance notice for Medicare Advantage (MA) and Part D changes, the Medical Group Management Association (MGMA) urged CMS to pursue greater transparency in Medicare Advantage...

Cigna Starts 3 Strategic Partnerships While Closing 2019 M&A Deals

by Kelsey Waddill

Payers are pairing the news of finalized 2019 mergers and acquisitions with new partnership announcements, like Cigna which announced three new partnerships in its recent fourth quarter 2019 earnings...

Proposed Medicare Advantage Changes Address Drug Pricing, ESRD

by Kelsey Waddill

CMS has proposed changes to Medicare Advantage that will increase plans’ revenues by 0.93 percent. The proposed rule would extend Medicare Advantage eligibility to those diagnosed with...

MA Plans with Prescription Drug Coverage Star Ratings Average 4.16

by Kelsey Waddill

Medicare Advantage plans with prescription drug coverage (MA-PD) star ratings demonstrate that these plans are flourishing in distribution and, most of all, quality, CMS announced when it released the...