October 31, 2022
The Centers for Medicare & Medicaid Services (CMS) created the Part C & D Star Ratings to provide quality and performance information to Medicare beneficiaries to assist them in choosing their health and drug services during the annual fall open enrollment period. The Star Ratings system also rewards higher-performing plans. As expected, CMS made several changes to the methodology used to determine the star ratings between 2022 and 2023. Among them were increases in the weights of the patient experience/complaints and access measures, from a weight of 2 to a weight of 4.[1] These changes led to significant declines in the number of contracts rated 3.5 stars or higher for 2023. Medicare Benefits Analyzer™, a Mark Farrah Associates’ database, helps simplify analysis of the Medicare.gov data, including details on the Star Ratings metrics for companies competing in this segment. This brief presents a snapshot of the 2021 to 2023 Medicare Advantage (MA) Star Ratings for Part C Overall.
Medicare Star Ratings
MA plans with prescription drug coverage (MA-PD) contracts are rated on up to 38 unique quality and performance measures; MA-only contracts (without prescription drug coverage) are rated on up to 28 measures; and stand-alone Prescription Drug Plan (PDP) contracts are rated on up to 12 measures. The contract (and plans within the contract) are rated on a 1 to 5-star scale, with 1 star for poor performance and 5 stars for excellent performance. Based on an analysis of CMS Star Ratings information in Medicare Benefits Analyzer, a total of 794 MA contracts, made up of 5,764 distinct Medicare Advantage (MA) plan offerings, are in the market lineup for 2023. This includes MA-only, MA-PD plans, Medicare/Medicaid plans (MMPs), and Special Needs Plans (SNPs) and excludes PDP contracts.
About Medicare Benefits Analyzer
Medicare Benefits Analyzer™ is a time-saving database for easy comparative analysis of Medicare premiums, co-pays and benefits. Benefits and Star Quality Ratings data is collected and organized from the Medicare.gov website and is updated within days the new benefits data is posted by CMS, usually during the first and second weeks of October, with periodic data refreshes. Interactive web tables present Medicare Advantage and PDP benefits, premiums, co-pays, Rx drug tiers & cost estimates by Plan, State & County; Star Quality Ratings data for measuring relative quality of MA & Part D plans; Drug tier costs by state presents standard and preferred cost-sharing by drug tier, purchase type and supply for all MA & Part D plans; Plan Finder profiles by state and plan with screen-shots of benefit details for easy look-up and reference; Medicare Advantage & PDP enrollment figures per plan and current Summary Star Ratings; and User-friendly web interface with easy-to-navigate tables and download to Excel; Medicare Benefits Analyzer™ subscriptions include access to Medicare Business Online™ for the latest enrollment data.
About Mark Farrah Associates (MFA)
Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, Medicare Business Online™, Medicare Benefits Analyzer™, 5500 Employer Health PLUS, and Health Plans USA™. For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.
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[1] Medicare 2023 Part C & D Star Ratings Technical Notes Updated – 09/28/2022