Webinar: Implications of the 2025 CMS Final Rate Announcement for Star Ratings
In February, the proposed changes announced in the 2025 Medicare Advantage (MA) and Part D Advance Notice released by the Centers for Medicare & Medicaid Services (CMS) allowed plans to prepare for updates to payment factors impacting their risk adjustment and quality programs before official notice of set rates.
With the publication of the Final Rate Announcement, payments to MA plans include up to a 3.70% increase on average, or over $16 billion compared to 2024—the same as CMS proposed in the Advance Notice, despite industry advocates arguing that a higher rate increase is warranted. Federal payments are projected to contribute up to $600 billion to MA plans total. However, changes to the Star Ratings program specifically are expected to decrease payments to plans by 0.11%.
I invite you to join me for an in depth look at the Star Rating measures and policies outlined in the Final Rule as part of our year-long Quality Decoded webinar series. Find out how you can prepare for upcoming changes to your MA Star Ratings in our webinar this Thursday, April 25 at 1 pm ET as we discuss the publication of the Final Rate Announcement.
领英推荐
Register here and don't miss this opportunity to drive better quality improvement in 2024 and beyond. Register now for future Quality Decoded webinars and gain access to past webinar content.
About the author
Marge Ciancetta is the product manager of Cotiviti’s Star Intelligence solution, which helps health plans and providers improve their quality ratings and star scores. She ensures that Star Intelligence represents the voice of Cotiviti’s customers and aligns with industry best practices. She also works closely with our development team, as well as with customers and stakeholders, to ensure that their feedback is incorporated into the product roadmap. With over a decade of experience in the quality space, Marge has a unique perspective on the challenges and opportunities facing health plans and providers today.
Revenue Integrity
11 个月Patients listen to their providers more than their health plan. Should payers and their 3rd party vendors consider the impact reimbursement burden has on providers when evaluating MA star ratings? Providers are asked every day, what plan would you pick for your family member- and we are brutally honest.