Article
08 December 2025 - by Hayley M. Rogers, Matthew Smith, John Miller, Brandon Campbell
With significant proposed changes to the Star Ratings program for Medicare Advantage and Part D, we detail the implications for contract year 2027.
Article
14 February 2025 - by Hayley M. Rogers, Matthew Smith, Liyun Ma
We discuss some of the program changes coming as part of reform, litigation, and politics.
Article
06 November 2024 - by Hayley M. Rogers, Matthew Smith
We discuss the causes and revenue implications in the historic decline in Star Ratings for Medicare Advantage and accompanying prescription drug contracts.
Video
18 September 2024 - by Emily Vandermause, Hayley M. Rogers, Jason Karcher, Madeleine Feller
The 2025 Medicare Advantage bid cycle has been one of the most tumultuous yet, as stakeholders took a stab at addressing significant changes to the risk models, the Inflation Reduction Act, significant Star Rating changes, bid resubmissions, unexpected PDP demonstrations, and potential regulatory uncertainty from the Supreme Court.
Article
12 June 2024 - by Hayley M. Rogers, Matthew Smith
A recent order for CMS to recalculate Star Ratings could eventually result in a 0.5-point increase for more than 60 Part C contracts under Medicare Advantage plans.
Article
06 March 2024 - by Rachel Ferguson, Bryce Platt, Hayley M. Rogers
Given the impending changes to the Medicare Advantage Star Ratings, organizations should proactively act to preserve or improve their current ratings.
Article
27 November 2023 - by Hayley M. Rogers, Matthew Smith, Mike Yurkovic
Healthcare stakeholders must thoroughly evaluate CMS’s 2025 Proposed Rule, including its impacts and integration into the operations of Medicare Advantage plans.
Article
02 November 2023 - by Robert Bachler, Hayley M. Rogers, Jakob Finney
We detail our survey of 31 employer stop-loss carriers, including their portfolio characteristics and underwriting results.
Article
30 October 2023 - by Hayley M. Rogers, Matthew Smith, Philip Nelson, Mike Yurkovic
As health plans integrate the latest Medicare Advantage Star Ratings, they should proactively consider how to adjust processes to be best prepared.
Article
06 October 2023 - by Hayley M. Rogers, Matthew Smith, Mike Yurkovic
With significant changes coming to the Medicare Star Ratings, Medicare Advantage organizations (MAOs) need to adapt to maintain or recover their current tiers.