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2025 Medicare Advantage Advance Notice

Posted By: Ronak Bavishi  On : February 01 2024

BHA looks into the key changes by CMS in the 2025 Medicare Advantage Advance notice.


CMS recently released the CY 2025 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies Advance Notice. BHA would like to share a quick sumary from stars lens.


Net Payment Impact


November 20 2023
Health Equity Index

Health Equity Index

Posted By: Ronak Bavishi  On : November 20 2023

What is the HEI?

 The HEI is a proposed bonus ranging from 0 to 0.4 added directly to each plan’s raw star rating based on two things: (1) the percentage of members that either are disabled or have Low Incoming Subsidy or Dual Eligibility, and (2) the number of measures in which the plan scored well for this subset of members.


Please navigate to to read the full content!

2025 Medicare Advantage Proposed rule

Posted By: Ronak Bavishi  On : November 20 2023

BHA looks into the key proposed changes by CMS for 2025 Medicare Advantage, especially from Stars angle!


Medicare Advantage: Unveiling the 2025 Proposed Rule by CMS! 


The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Advantage (MA) Proposed Rule.

In the proposed Rule places a spotlight on critical aspects, demonstrating CMS's commitment to improving health equity, restricting broker marketing practices, and expanding access to behavioral health services. We also saw some important announcements related to Star ratings!


Diving into the proposed Stars changes: What You

December 12 2022
Reward Factor Analysis

Reward Factor Analysis

Posted By: Suruthi K  On : December 12 2022

 The importance of the Reward Factor for acheiving 4.5 and 5 Stars in the Medicare Advantage Star Ratings system.

 Author’s Note

DUOS invited me to join Eric Santa and Martha Osos in writing their December 2022 Insight Briefing in which we showed the importance of the Reward Factor in Medicare Advantage Star Ratings.  This blog is a companion “deep dive” into the math that didn’t belong in the briefing format.

September 09 2022
Update on CMS 2023 Cutpoints

Update on CMS 2023 Cutpoints

Posted By: Suruthi K  On : September 09 2022



2023 Cutpoints are Up! You can find all of 2023 cutpoints in BHA's measure browser w/graphs to show the long term trends. Especially check out what's happening with Medication Adherence.


Click on this link to explore the cutpoints changes Measure Details 2023


Email us for additional information, a live demo of our software, and assistance in charting your path to 4 (or more) Stars!

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