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
