In February, the proposed changes announced in the 2025 Medicare Advantage (MA) and Part D Advance Notice released by the Centers for Medicare & Medicaid Services (CMS) allowed plans to prepare for updates to payment factors impacting their risk adjustment and quality programs before official notice of set rates.
With the publication of the Final Rate Announcement, payments to MA plans include up to a 3.70% increase on average, or over $16 billion compared to 2024—the same as CMS proposed in the Advance Notice, despite industry advocates arguing that a higher rate increase is warranted. Federal payments are projected to contribute up to $600 billion to MA plans total. However, changes to the Star Ratings program specifically are expected to decrease payments to plans by 0.11%.
I invite you to join me for an in depth look at the Star Rating measures and policies outlined in the Final Rule as part of our year-long Quality Decoded webinar series. Find out how you can prepare for upcoming changes to your MA Star Ratings in our on-demand webinar as we discuss the publication of the Final Rate Announcement.
Attend our short 30-minute webinar as we:
Don’t miss this opportunity to drive better quality improvement in 2024 and beyond. Register now for future Quality Decoded webinars and gain access to past webinar content.