Strong performance in the Star Ratings program is vital to Medicare Advantage plans, impacting their financial sustainability and ability to attract new members. But keeping up with annual changes to the program can be a challenge, particularly for smaller plans with fewer resources.
With the majority of those eligible enrolled in plans from a few dominant players, it can be difficult for smaller plans to compete. Maintaining a good relationship with members and providing robust customer support is essential to build trust and may provide a necessary edge on multiple measures. Executing personalized, data-driven interventions can also optimize small MA plans’ bonus payments to remain competitive in the coming years.
I invite you to listen to Cotiviti’s recent interview on the Healthcare de Jure podcast as we discuss strategies and best practices for successful Star Ratings, upcoming measure changes, and more.
Listen as we dive into:
- New and familiar quality measures that will determine 2025 Star Ratings results
- Effective and proactive strategies to enhance performance for the next Star Ratings year
- Special considerations for smaller MA plans dealing with limited budgets and other challenges
Cotiviti tracks and applies CMS’s confirmed updates to measures and weights into our Star Intelligence solution, helping clients get ahead of anticipated changes. For a deep dive, watch our recent on-demand webinar, Examining the 2025 CMS Final Rule, as we break down key changes to the Star Ratings program for the next measurement year.
Looking for a quick summary of upcoming Star Ratings changes? Our CMS Star Ratings Calendar will tell you what you need to know.
