CMS recalculates 2026 Medicare Advantage star ratings, increasing program volatility and affecting $16 billion in bonuses
read at STAT ↗RegulatoryNegative
Federal officials have issued a new memo that recalculates the quality ratings for 2026 Medicare Advantage plans.
The change follows another lawsuit from insurers that contest lower star ratings, which can jeopardize bonus payments.
Plans earning four or more stars qualify for bonus payments, and those bonuses have risen to roughly $16 billion this year.
Repeated legal challenges have forced CMS to redo the ratings before, and the latest adjustment adds further uncertainty for insurers.
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This writeup was produced by pharmadog from original reporting by STAT.
Original headline: “STAT+: CMS recalculates Medicare Advantage star ratings again, adding more volatility to program”
read at STAT ↗523 words · retrieved Jun 19
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