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Star Ratings - Key upcoming changes

Posted By: Ronak Bavishi - 04/02/2025

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Future Measure changes

 

Measurement Year 2024 (Star year 2026) Stars Changes

Program changes

  • Health Equity Index capture starts; Last year for RF1

Weight Changes

  • CAHPS & Admin measures to 2x (Patients’ Experience and Complaints Measure)2

New Measures

  • Improving/Maintaining Physical Health (1x)3
  • Improving/Maintaining Mental Health (1x)3  
  • Kidney Health for Patients with Diabetes (1x)1

 

Measurement Year 2025 (Star year 2027) Stars Changes

Program changes

  • Health Equity Index introduced; RF replaced1

Weight Changes

  • Improving/Maintaining Physical Health increases to 3x3
  • Improving/Maintaining Mental Health increases to 3x3

New Measures

  • Care for Older Adults—Functional Status Assessment (1x)4
  • Concurrent Use of Opioids and Benzodiazepines (COB) (1x)5
  • Polypharmacy Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (1x)5

Retired Measures

  • Care for Older Adults – Pain Assessment8
  • Medication Reconciliation Post-discharge (MRP)6
  • MTM Program Completion Rate for Comprehensive Medication Review (CMR) – Retired to display7  

 

Measurement Year 2026 (Star year 2028) Stars Changes

Weight Changes

  • Implementation of the SDS risk adjustment to the three medication adherence measures - Weight reduced to 1x in MY 26.  Back to 3x in MY279
    • Medication Adherence for Diabetes Medication
    • Medication Adherence for Hypertension (RAS Antagonists)
    • Medication Adherence for Cholesterol (Statins)
    • Nonsubstantiative updates - Remove Medication Adherence adjustments for stays in inpatient facilities (IP) and skilled nursing facilities (SNFs)

 

Source:

1 - https://www.federalregister.gov/d/2023-07115/p-24

2 - https://www.federalregister.gov/d/2023-07115/p-1574

3 - https://www.federalregister.gov/d/2021-00538/p-690

4 - https://www.federalregister.gov/d/2024-07105/p-1860

5 - https://www.federalregister.gov/d/2024-07105/p-1920

6 - https://www.federalregister.gov/d/2024-07105/p-1833

7 - https://www.federalregister.gov/d/2024-07105/p-1877

8 - https://www.cms.gov/files/document/2025-advance-notice.pdf

9 - https://www.federalregister.gov/d/2023-07115/p-1505

 

 

 

 

 

 

 

 

 

 

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