Star Ratings - Key upcoming changes Posted By: Ronak Bavishi - 04/02/2025 Previous Next 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
Star Ratings - Key upcoming changes Posted By: Ronak Bavishi - 04/02/2025 Previous Next 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
Star Ratings - Key upcoming changes Posted By: Ronak Bavishi - 04/02/2025 Previous Next 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