Why low Medicare Advantage star ratings can lead to a ‘Darwinian death spiral’

(By Jakob Emerson for Becker’s Hospital Review)

In the world of Medicare Advantage, hundreds of millions of dollars in health plan revenue can hinge on the success of one call.

Those dollars stem from star ratings, or how the federal government calculates the quality of Medicare Advantage plans using a system of 44 performance measures across 9 categories that lead to a final score of 1 (low) to 5 (high). Continue reading here…

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