Explore the latest developments concerning Medicare Finalizes 2.48%.
CMS finalizes Medicare Advantage star ratings overhaul, sending billions of dollars more to insurers
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Regulators cut almost a dozen metrics that factor into the quality ratings and reverted back to an older and more generous bonus system.
The Trump administration has finalized a rule overhauling the Medicare Advantage star ratings system that’s expected to significantly boost insurers’ ratings — and the reimbursement that’s attached.
On Thursday, the CMS finalized a rule cutting measures that factor into the MA quality ratings and rolling back health equity initiatives that will funnel billions of dollars more to MA insurers.
Specifically, regulators eliminated 11 star ratings metrics measuring administrative processes on which plans perform similarly. The agency is also not implementing a new health equity award put in place by the Biden administration that was set to kick in next year, called the “health equity index.”
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