CMS is proposing major reforms to Medicare Advantage Star Ratings to address administrative measure concerns raised in industry lawsuits. These changes could impact plan quality assessments and compliance.

CMS's Medicare Advantage proposal reintroduces the reward factor, affecting insurer payments by $13B, and phases out the inpatient-only list, impacting outpatient care and rural health strategies.

Federal court ruling raises Alignment Healthcare's Arizona Medicare Advantage star rating to 4 stars, impacting quality ratings and bonus payments in 2025.