CMS Proposes Overhaul of Medicare Advantage Star Ratings System
The Centers for Medicare and Medicaid Services (CMS) is proposing significant revisions to the Medicare Advantage (MA) Star Ratings system, which assesses the quality of MA plans using multiple performance measures. These adjustments are especially targeted at administrative metrics that have previously prompted legal challenges from industry stakeholders such as SCAN Health Plan, Humana, and Elevance. These plans have contested aspects of the ratings related to customer service operations and language support, highlighting concerns over fairness and accuracy in scoring.