When Star Ratings Backfire: How CMS Could Better Support Health In Medicare Advantage
The Healthcare Blog
MAY 12, 2025
In March 2023, both insurers were penalized after allegedly missing a single CMS secret shopper phone call , a call they claim was never received. How Quality Measurement Can Undermine Actual Quality The Star Ratings system aggregates over 40 metrics across preventive care, medication adherence, member experience, and customer service.
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