Basics Star Ratings 101 Star Ratings 201 - The Calculation Medication Adherence Tutorial Part C Improvement HEDIS Hybrid Targets Advanced Health Equity Index Star Ratings - Key upcoming changes Data & Tools BHA Stars Tools Stars Planner For Medicare Advantage - Instructions Star Ratings - Key upcoming changes Posted By: Ronak Bavishi - 02/14/2025 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) 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 Medicare Advantage Stars Planner An interactive dashboard that keeps a tally while you set goals for each measure using trends and other con... Hcontract History Browser Compare the scores and star ratings history for all contracts from any company Star Measure Details Quick look up for all star measures with CMS documentation, reference materials, histograms and cutpoint Stars Value Calculator Calculate the revenue impact of star ratings for actual health plans Stars Rating Explorer Quick look up for all star measures with CMS documentation, reference materials, histograms and cutpoint Quick Contract List Quick view to get a searchable list of all 2024 CMS Medicare advantage contracts and their ratings history Computer Aided Abstraction The BHA Ocular is used to read the text from any images or any scanned documents or any hand written papers...
Star Ratings - Key upcoming changes Posted By: Ronak Bavishi - 02/14/2025 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) 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
