The changes are expected to boost star ratings, which will increase insurers’ quality bonus payments. CMS estimates the revisions will increase federal spending by $18.6 billion over the next decade.
The Centers for Medicare & Medicaid Services (CMS) finalized a Medicare Advantage (MA) rule with substantial adjustments to ...
CMS finalizes Medicare Advantage star ratings overhaul, sending billions of dollars more to insurers
Regulators cut almost a dozen metrics that factor into the quality ratings and reverted back to an older and more generous ...
The Centers for Medicare and Medicaid Services is proposing enhancements to the Medicare Advantage and Part D Star Ratings program. Beginning in the 2027 measurement year, CMS proposes to remove ...
In recent years, there have been numerous lawsuits from Medicare Advantage plans against the Centers for Medicare and Medicaid Services over Star Ratings, including from SCAN Health Plan, Humana and ...
A previous Forefront article by these authors described how a two-tier framework—reformed Stars Ratings and a comprehensive Medicare Advantage (MA) Transparency Scorecard on non-clinical ...
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Medicare Shake‑Up 2027: CMS Plans To Axe New Health Equity Reward — Are You Losing Out?
Medicare is bracing for one of its most consequential overhauls in years after the Centres for Medicare & Medicaid Services (CMS) unveiled a 2027 proposal to scrap the long-planned Health Equity ...
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