![]() Īpproximately 27% of PDPs (13 contracts) that will be active in 2024 received 4 or more stars for their 2024 Part D Rating. The last row in Table 2 shows the average Part D Ratings weighted by enrollment for stand-alone PDPs from 2021 to 2024 after any adjustments for extreme and uncontrollable circumstances. * The average Star Rating is weighted by enrollment. Table 1: 2021 - 2024 Overall Star Rating Distribution for MA-PD Contracts Weighted by enrollment, approximately 74% of MA-PD enrollees are currently in contracts that will have 4 or more stars in 2024.Approximately 42% of MA-PDs (229 contracts) that will be offered in 2024 earned 4 stars or higher for their 2024 overall rating.The change in distribution from 2023 to 2024 Star Ratings is influenced by changes in measure scores in both positive and negative directions based on contract performance and the introduction of Tukey outlier deletion as well as the addition of two new Part C measures (Transitions of Care and Follow-Up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions), adding back the Plan All-Cause Readmissions (Part C) measure after a substantive change in the measure specification, and retiring the Diabetes Care – Kidney Disease Monitoring (Part C) measure. The last row in Table 1 shows the trend in the average overall Star Ratings weighted by enro ll ment for MA-PDs from 2021 to 2024 after any adjustments for extreme and uncontrollable circumstances. For disaster-affected contracts with a data integrity issue, the final measure rating is based on the current year. Tukey outlier deletion involves removing outlier contract scores prior to applying mean resampling within the hierarchical clustering algorithm to determine measure-level cut points.ĭata integrity issues are now included in the description of missing data in the extreme and uncontrollable circumstance (disaster) policy. Īs finalized in rulemaking in 2020, the 2024 Star Ratings introduced Tukey outlier deletion when calculating the cut points for all non-Consumer Assessment of Healthcare Providers and Systems (CAHPS) measures in order to improve predictability and stability in the Star Ratings. ![]() The weight for the Part C Controlling Blood Pressure measure was increased from 1 to 3. ![]() Starting with the 2024 Star Ratings, the Diabetes Care – Kidney Disease Monitoring (Part C) measure was retired, and both the Transitions of Care (Part C) and Follow-Up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (Part C) measures were added to the 2024 Star Ratings, each with a weight of 1. As finalized in previous rulemaking, the updated Plan All-Cause Readmissions (Part C) measure was re-specified and transitioned off the display page into the 2024 Star Ratings as a new measure with a weight of 1 for the first year. Medicare Advantage with prescription drug (Part D) coverage (MA-PD) contracts are rated on up to 40 unique quality and performance measures MA-only contracts (without Part D coverage) are rated on up to 30 measures and PDP contracts are rated on up to 12 measures. Highlights of Contract Performance in 2024 Star RatingsĬhanges in the Methodology for the 2024 Star Ratings An important component of this effort is to provide Medicare consumers and their caregivers with meaningful information about quality alongside information about benefits and costs to assist them in being informed and active health care consumers. ![]() The Star Ratings system helps Medicare consumers compare the quality of Medicare health and drug plans being offered so they are empowered to make the best health care decisions for them. The Centers for Medicare & Medicaid Services (CMS) publishes the Medicare Advantage (Medicare Part C) and Medicare Part D Star Ratings each year to measure the quality of health and drug services received by consumers enrolled in Medicare Advantage (MA) and Prescription Drug Plans (PDPs or Part D plans). For details on the Medicare Advantage (MA) and Part D Star Ratings, please refer to the 2024 Part C & D Star Ratings Technical Notes available at. Note: The information included in this Fact Sheet is based on the 2024 Star Ratings published on the Medicare Plan Finder on Octo.
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