CMS Recalculates Medicare Star Rating for UHC and Centene MAPD plans

[GailL1]

Yahoo Finance News 12/04/2024 - CMS recalculates Medicare Advantage stars for UnitedHealth, Centene 

from the link:  

• UnitedHealth and Centene have received a valuable boost in their Medicare Advantage star ratings for 2025 after squaring up against federal regulators in court.

• The CMS increased stars for 12 UnitedHealth contracts and seven Centene contracts in revised ratingsreleased Monday. UnitedHealth had three more contracts reach the all-important four star threshold, giving them access to lucrative bonuses for the first time, while two contracts were upgraded to the highest possible rating of five stars, garnering the maximum rebate from the federal government.

 Many health insurers cried foul when the CMS released star ratings for 2025 in October. Regulators tightened standards for reaching the highest scores, resulting in a small dip in stars across the board. That translates to serious financial repercussions for some insurers, given the stars have a direct impact on plans’ reimbursement in the privatized Medicare program.

================

more at the link ~

CMS sets the rules for these bonus payments based on performance - maybe they have made all of this just too complicated and now don’t know what they are themselves doing.  

Personally, I think the whole system needs a lot of simplification.