More insurers sue CMS over Medicare Advantage stars

The Medicare Advantage (MA) Stars program, managed by the Centers for Medicare & Medicaid Services (CMS), evaluates the quality of MA (Part C) and Part D prescription drug plans. Plans are rated from 1 star (poor) to 5 stars (excellent) based on multiple measures of health outcomes, patient experience, and access to care. These ratings help Medicare enrollees compare plans and make informed decisions while also determining Quality Bonus Payments (QBP) for high-performing plans. Recently, more insurers have filed lawsuits to increase their Medicare Advantage quality scores, alleging that regulators improperly factored 20 measures into the 2026 star ratings calculation. Rebecca Pifer Parduhn, writing for Healthcare Dive, reports that more insurers are suing CMS over the Medicare Advantage stars program. Read Ms. Parduhn’s article here…

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