Medicare star ratings help people compare the quality of health and drug plans. The Centers for Medicare & Medicaid Services (CMS) bases the ratings on specific measurements and updates them each fall ...

Medicare Advantage insurers secured a major victory this month when the Centers for Medicare and Medicaid Services (CMS) acquiesced and decided to recalculate the Star Ratings it uses to judge the ...

UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ...

Just three days after a federal judge ruled against Humana's Medicare Advantage star ratings challenge, the insurer is once again taking its qualms to court. Humana is likely to prevail in the lawsuit ...

Berkshire Health Systems has announced that Berkshire Medical Center (BMC) has been given a 4-star rating for overall quality ...

The Centers for Medicare and Medicaid Services has withdrawn its appeal of a district court ruling that determined the agency must recalculate Medicare Advantage Star Ratings for UnitedHealthcare. CMS ...

During this Medicare open-enrollment season, people selecting options for 2025 can often choose among a dizzying number of Part D drug plans and private insurers’ Medicare Advantage plans. Medicare’s ...

Health plans can improve their Medicare Advantage Star Ratings by focusing on member relationships, ensuring proper documentation, grouping measures, staying updated with regulatory changes, and ...

CMS does not adequately assess the effect of surgery volume when calculating its Overall Hospital Quality Star Ratings, according to a study published in JBJS Open Access. CMS excludes some quality ...

The CMS has recalculated plans’ quality ratings in the Medicare Advantage program after a series of court rulings challenging the agency’s methodology in determining scores for 2024. The redo will ...

When it comes to quality of medical care and patient safety, South Dakota hospitals generally fared well in new rankings by two independent rating agencies, though there is room for improvement. In ...