Medicare Advantage Star Ratings Drop Again

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The Centers for Medicare and Medicaid Services announced a decline in average Medicare Advantage star ratings for 2025, with the average rating dropping to 3.92 from 4.07 in 2024. Only seven contracts received five-star ratings, compared to 38 in the previous year. About 40% of contracts for 2025 received at least four stars. CMS did not make major changes to the star ratings methodology but included minor adjustments. Insurers like UnitedHealth and Humana are challenging the ratings. The ratings impact open enrollment choices and quality bonus payments for 2026. Performance measures are used to determine star ratings.

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