2025 Plan Preview 2 Cutpoints

2025 Plan Preview 2 Cutpoints

CMS recently released the annual memo “Second Plan Preview of 2025 Part C and D Star Ratings Data” on 9/5 announcing that the second Plan Preview will start 9/6 and run through 9/13.

BHA has analyzed and compared the newly available 2025 Cutpoints with the previous year. 

Here is the summary:

• This is a challenging stars year. Majority of cutpoints became more difficult. 118 out of 168 CPs (70%) became more difficult.
• 30 CPs (18%) had no change and just 20 (12%) CPs became easier. 

Let’s take a more deeper look into what changed and which measures went up:

Key takeaways:

• Many cutpoints moved excatly the amount allowed by guardrails.
• Most clinical measure cutpoints went up with TRC as the exception
• CBP was not as guardrails don’t apply for new measure up to 3 year.
• CAHPS were more or less stable. However, C20 – Getting appointments and care quickly measure went up substantially.
• Call center and Appeals measures were no exception and saw their cutpoints get more difficult to achieve.
• Part D Adherence measures remained stable and even slightly easier for some cutpoints.

Your next steps:

• Closely review the posted data for each measure, as well as their preliminary Star Rating assignments.
• Immediately flag CMS of any suspected data issues or errors
• Download all worksheets and files to perform internal validation of the recently available data

Please reach out to us support@baltimorehealthanalytics.com if you have any questions regarding your data or want assistance  to validate your data.

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Edited as of 9/10 to rectify some discrepancies.