Medicare Advantage Stars
Expert articles and analysis related to medicare advantage stars.
AI Summary — Last 7 Days
CMS under the Trump administration is again recalculating Medicare Advantage Star Ratings for 2026/2027 bonus purposes following the Clover litigation, reinforcing that Stars methodology risk is now a live financial and strategic variable—not a settled quality-performance signal—for MA plans, provider-aligned risk entities, and VBC partners dependent on rebate dollars and quality bonus payments. The week’s pattern is heightened volatility: plans such as Clover and Humana may benefit from revised cut-point methodology, but analysts suggest the broader industry impact may be uneven, while CMS’s approach preserves upside only where recalculation improves results rather than broadly reopening Stars outcomes (Healthcare Dive, [Modern Healthcare](https://news.google.com/rss/articles/CBMilwFBVV95cUxPQjd0RmJhWVBqYjRWSzJQelEwZkdiejhSeTY1V0c2ODUwblVOakVRbnVfZFd2b0xRNUhqUVQ4Qzhpa3ZJSmRnNGNzT2V4UnFQcWFIbGIyQWZTYlluYVRqdXhVcW1STjYwOUQtQnpGSUt3SExsZVpQOEhqLVU4aWE4S042dHJ5cGpxNTRZX
Related Articles
Approved but Underpaid: How Payers are Quietly Redrawing the Rules of Hospital Reimbursement
The following is a guest article by Missy Harbert, Senior Solution Advisor at Revecore For years, hospitals have built denial management programs around a predictable premise: when a payer disputes a ...
Medicare Advantage star ratings redo boosts Humana, Clover Health
Medicare Advantage star ratings redo boosts Humana, Clover Health  Modern Healthcare
CMS recalculates Medicare Advantage star ratings again, adding more volatility to program - statnews.com
CMS recalculates Medicare Advantage star ratings again, adding more volatility to program  statnews.com
STAT+: CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
Medicare Advantage plans that receive four out of five stars or better get bonus payments, which have ballooned to $16 billion this year.
What Upstream Prior Authorization Denials Mean for Home Health Providers
Week in Washington 06/18/26
CMS recalculating MA Stars Rating CMS announced it would be recalculating MA STARS for plans that would benefit from a different calculation. The change stems from the recent lawsuit loss to Clover ov...
CMS is voluntarily recalculating 2027 MA star ratings bonus payments
CMS is voluntarily recalculating 2027 MA star ratings bonus payments  Healthcare Finance News
CMS recalculates Medicare Advantage stars after Clover lawsuit loss, but not a freebie for plans
Regulators are locking in new 2026 stars for plans if they’re higher under the new methodology. But the recalculation basically results in no change to average star ratings unless you’re Clover, analy...
CMS is recalculating 2026 Medicare Advantage star ratings
CMS is recalculating 2026 Medicare Advantage star ratings  Modern Healthcare
OIG Publishes Medicare Advantage Industry-Specific Guidance
OIG Publishes Medicare Advantage Industry-Specific Guidance  JD Supra