![]() ![]() Plans awarded 4 or more Stars earn a 5 percent bonus on CMS payment benchmarks, as well as higher rebates to use toward richer supplemental benefits for members. Every year, CMS assigns Star ratings to MA plans to indicate their quality relative to other plans. MA plan economics are directly impacted by Stars, the CMS quality assessment program. 2 Centers for Medicare & Medicaid Services. It is expected to reach around 34 million lives covered by 2023, an expected growth rate of 11 percent per year. MA is the fastest-growing line of business for many health plans, with enrollment growth of around 8 percent per year since 2014. Medicare Advantage continues to grow robustly Additionally, it could materially improving seniors’ experience with healthcare. An analytics-driven approach to customer experience redesign could ensure Stars performance, while potentially driving growth for plans. Excellent customer experiences will be even more critical moving forward. MA plans have long been accountable for quality performance, with roughly $15.1 billion in Stars-linked incentives creating a performance imperative. 1 “Contract Year 2021 Medicare Advantage and Part D Final Rule (CMS-4190-F1) fact sheet,” Centers for Medicare & Medicaid Services, May 22, 2020, cms.gov. When the Centers for Medicare & Medicaid Services (CMS) changed the methodology for calculating Medicare Advantage (MA) quality scores in May 2020, it meant customer-experience-related metrics would determine 57 percent of overall Stars ratings (up 25 percentage points) by 2023. ![]()
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