Table 8: Distribution of 2023 Overall Star Ratings by Length of Time in Program for MA-PDs, Number of Contracts with less than 5 Years, Number of Contracts with 5 years to Less than 10 Years, Number of Contracts with 10 or More Years, Table 9: Distribution of 2023 Part D Ratings by Length of Time in Program for PDPs, Below we list the average Star Ratings for 2021, 2022, and 2023 Part C and D measures (Tables 10, 11, and 12) using all measure scores for contracts that are publicly reported in a given year. We expect this trend to continue in rating year 2023, when member experience measures will reach a weight of 4.0, up from 1.5 in 2020. Thirty percent of weighted CAHPS measures received equivalent measure scores and ratings in rating years 2021 and 2022, a sign that plans may have used historical rather than current-measure performance. The Pre-Rulemaking process helps to support CMSs goals to fill critical gaps in quality measurement and consider multi-stakeholder input on measure selection. They will be added to the Star Ratings program beginning with the 2022 measurement year and the 2024 Star Note that enrollment weighted Star ratings may differ slightly from CMS reports due to enrollment data used in analysis. 7wf7! Even for measures for which the measurement period is already under way, deploying a SWAT team targeted at specific measures could substantially improve Star performance. Table 1: Changes in Part C Measure Scores from 2021 to 2023 Star Ratings for MA Contracts, Increase / Decrease in Performance from 2022 to 2023, Statin Therapy for Patients with Cardiovascular Disease*, Medication Reconciliation Post-Discharge*, Plan Makes Timely Decisions about Appeals, Diabetes Care Kidney Disease Monitoring*, Call Center Foreign Language Interpreter and TTY Availability, Care for Older Adults Medication Review*, Osteoporosis Management in Women who had a Fracture*. Close care gaps this Osteoporosis Awareness and Prevention Month with better member outreach. Approximately 51% of Medicare Advantage plans that offer prescription drug coverage will have an overall rating of four stars or higher in 2023. We encourage plans whose ratings dropped to acknowledge the gift CMS gave plans last year through COVID EUC policy relief and use the National Averages in Attachment C to the Technical Notes and three to five years of data in leadership messaging this week to help justify resource allocations needed for Stars improvement efforts. As a result of these methodology changes, the weighted average Star rating for all contracts increased from 4.08 in rating year 2021 to 4.37 in 2022, and 90 percent of enrollees were enrolled in contracts with 4.0 Stars or higher in 2022, representing record highs.2CMS Star Ratings data (2013 to 2022) and September enrollment data (2013 to 2021). People who want to keep their current Medicare coverage do not need to re-enroll. First, for rating year 2023, CMS will no longer universally apply the disaster provision as it did in 2022; this provision allowed contracts to take the better of current or historical performance for most measures in 2022.4Fact sheet, October 8, 2021. Men in the United States are least likely to rate their healthcare experience positively. 1-800-MEDICARE is available 24 hours a day, seven days a week, to provide help in English and Spanish, as well as support in over 200 languages. Every day and week matters to make sure your plan gets or stays on a strong trajectory. For example, leading plans have delivered quality-focused training to front-office staff, deployed interactive text messaging, and used predictive analytics to launch call campaigns focused on medication adherence. Executive attention to Star Ratings is never as intense or engaged as it is during Second Plan Preview. The scores are shown prior to any adjustments under the extreme and uncontrollable circumstances rules; thus, they reflect actual performance during the measurement period. Approximately 51% of MA-PDs (260 contracts) that will be offered in 2023 earned 4 stars or higher for their 2023 overall rating. These latest ratings adjust that figure to 72%. Weighted by enrollment, approximately 72% of MA-PD enrollees are currently in contracts that will have 4 or more stars in 2023. An increase in at-home stool testing appears to have offset some of the decline in colorectal cancer screening, but this measure also saw a 0.54 decline from 2021 and a 1.9 decline compared to 2020. 4 Each metric is measured on a relative basis to other contrac. Catherine Howden, DirectorMedia Inquiries Form or Guardrails are bi-directional caps that restrict upward and downward movement of a measures cut points for the current years measure-level Star Ratings compared to the prior years measure-threshold specific cut points. The return on investment in non-CAHPS measure improvements may increase because of this stabilizing methodology. These are members choosing to disenroll from their MA plans and, likely, enroll with another. Sign up to get the latest information about your choice of CMS topics in your inbox. Sixty-nine of these contracts17 percent of contracts, enrolling 9 percent of beneficiarieswould have achieved a 0.5 lower Star rating in rating year 2020 (for example, achieving 3.5 Stars rather than 4.0 Stars) had Tukey and cut point guardrails been in place (Exhibit 3). [6] See CY 2023 final rule (CMS-4192-F) at Federal Register :: Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency. This equates to more than one full star drop on the Part C measure, and a full 1.5 star drop on the Part D measure. **For Complaints about the Plan and Members Choosing to Leave the Plan a lower score is better. Medicare Advantage Star ratings rose to all-time highs in 2022, What Medicare Advantage members want from their onboarding experience, From facility to home: How healthcare could shift by 2025, What the future holds for Medicare beneficiaries. The intentional alignment of Stars to the Meaningful Measures structure spotlights the many important clinical, behavioral, pharmacy and experiential areas for which reliable quality measures exist but have not yet been introduced to Star Ratings. We don't take HEDIS updates and changes lightly: Measure development and major updates follow a rigorous process that includes a public comment period and input from experts and stakeholders. The Star Ratings system supports CMS efforts to empower people to make health care decisions that are best for them. To preempt negative impact, plans can consider conducting diagnostic analyses to identify at-risk measures and deploying targeted initiatives to address those measures. However, the short-term impact overall is minimal in 2022 and 2023. Similarly, for PDPs approximately 42% of non-profit PDPs received 4 or more stars compared to 25% of the for-profit PDPs. The financial impact may be substantial, particularly for those that have struggled with declining quality performances during the pandemic. Yesterday evening CMS released a number of key documents for Star Year 2022 and 2023 including a last-minute announcement that the two, triple weighted HOS outcomes measures will be moved to the display page effective Star Year 2022 and 2023 due to validity concerns caused by the COVID-19 PHE. Recheck your Improvement measure calculation to ensure that the right measures were excluded based on use of the EUC policy. [1] Percentages in the tables may not sum to 100 due to rounding. Starting with the 2024 Star Ratings (2022 measurement period), CMS made it more difficult for plans to meet the performance standards necessary to retain or raise Star Ratings by removing performance outliers of non-CAHPS measures from the Tukey methodology's calculation of Star Rating cut points. Table 3: Changes in Part D Measure Scores from 2021 to 2023 Star Ratings for PDP Contracts. Our analysis suggests that half of plans could see reduced ratings in rating year 2023 based on changes to the disaster provision, and that more challenging cut points could separately drive $800 million in annual revenue impact to plans in rating year 2024. The arrows indicate whether the change in scores is positive or negative from the 2022 to 2023 Star Ratings. Quality relies on the orchestration of a host of factors. HEDIS publications are available as electronic publications. %PDF-1.6 % The Centers for Medicare & Medicaid Services (CMS) blames a codification error for the disappearance of the Tukey outlier deletion, a statistical method for removing outliers when calculating Star measure cut points, when the final rule for Medicare Advantage (MA) and Part D prescription drug programs was implemented on June 28. Impending changes to the methodology used to calculate Medicare Advantage Star ratings could make it difficult for highly rated plans to retain those ratings in 2023 and 2024. The Centers for Medicare & Medicaid Services (CMS) publishes the Medicare Advantage (Medicare Part C) and Medicare Part D Star Ratings each year to measure the quality of health and drug services received by consumers enrolled in Medicare Advantage (MA) and Prescription Drug Plans (PDPs or Part D plans). Contrary to the decreased performance and cutpoints on HEDIS and CAHPS measures, Part D cutpoints continued to rise despite no change in the national average performance. The Centers for Medicare & Medicaid Services (CMS) uses a Star rating system to measure the performance of Medicare Advantage (MA) plans. According to Hartnett, the ADI is a collection of data points created by the Health Resources and Services Administration to rank neighborhoods by socioeconomic . Democrat McKee included $592,405 in his proposed 2023-24 budget to provide abortion coverage for an estimated 80,000 women of child-bearing age enrolled in Medicaid and another $29,500 to add . The 2022 Overall Star Rating selects 47 of the more than 100 measures CMS publicly reports on Care Compare and divides them into 5 measure groups: Mortality, Safety of Care, Readmission, Patient Experience, and Timely & Effective Care. Executives need to understand, support and resource all of these things alongside this years fourth quarter push. 422.166(h)(1)(i), 423.186(h)(1(i). ?Onr&/]>o{7z;=^+~>wAL768K{zm5]%K,^,WK%y\1W[-y0k{yr\"{f,12NOy<=A`A`A`v%JxGxG^_CSv(Ph;0@?@sY9_1_9_1_9_1_9_1_9_1_9_1_9_1_tQGE?~(QGC?FoFoFoFoFoK-L-U9W\S(a81}AxbH}}Q1O 6K The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. endstream endobj 826 0 obj <>stream 5nOcPDu1z2`V,v0-hgiF\E;e2`o3V0V 8 \TM3((_^tIw+,$~`YG45E5(7zuDkH*}J$P"XPL 5HQ;k#cNfYQF!2j:EUa` 6T"Nl. Federal government websites often end in .gov or .mil. Click Privacy Settings to see the types of cookies used and to update your cookie preferences for this browser. 7500 Security Boulevard, Baltimore, MD 21244, 2023 Medicare Advantage and Part D Star Ratings, Highlights of Contract Performance in 2023 Star Ratings. You can view ourPrivacy Policyfor more information. Taking a member-centric approach is key to closing gaps in care, ensuring member satisfaction, addressing social needs screening and interventions (SNS-E), improving medication adherence, and driving the completion of health risk assessments. Therefore, outreach to new members and those who have had changes in their plans is critical to addressing issues before they balloon out of control. CMS invites the submission of candidate measures from measure developers/stewards. Visit CMS.gov, HHS.gov, USA.gov, CMS Quality Reporting and Value-Based Programs & Initiatives, Measure Use, Continuing Evaluation & Maintenance, CMS Measures Under Consideration 2023 Call for Measures, U.S. Department of Health & Human Services, CMS MUC Entry/Review Information Tool (MERIT). Executive Vice President of Consulting & Professional Services. HPR rewards plans that meet NCQA Accreditation standards, which can add up to 0.5 points to the overall score. CMS Star Ratings data (2013 to 2022) and September enrollment data (2013 to 2021). All Star Ratings referenced in Tables 10, 11, and 12 are after the adjustments to address concerns about collecting CAHPS and HEDIS data for the 2021 Star Ratings, regulatory adjustments for extreme and uncontrollable circumstances triggered by the COVID-19 PHE for the 2023 Star Ratings (for non-HOS measures), and the regulatory disaster adjustments for extreme and uncontrollable circumstances triggered by the COVID-19 PHE for HOS measures, and other qualifying extreme and uncontrollable circumstances,[9] for the 2021 performance period have been applied. This memo describes changes to the Rating System to be implemented in January 2021. If guardrails had been in place during that same period, the average change would have been 3 percent for 4-Star ratings; individual measure changes would have been limited to 5 percent.13Guardrails will limit the year-over-year change of measure cut points to five percentage points for measures with a zero to 100 scale, or 5 percent of the restricted range for other measures. 2022 Cotiviti, Inc. All rights reserved. Tables 1-3 below include information at the national level about the overall change in contract-level average measure scores (i.e., unweighted by the size of the contract) from the 2021 to 2023 Star Ratings (for all measures without a substantive specification change across the three years). In 2023 ratings, average voluntary member attrition increased to 17.15%, an increase of almost 2.5 points compared to 2022. In 2022, average Star ratings increased dramatically as the Centers for Medicare & Medicaid Services (CMS) introduced multiple provisions to support payer performance in response to potential challenges arising from the COVID-19 pandemic (for example, deferred care and the difficulty of mailing surveys). Specifically, plans can consider three types of actions: The next several years may be difficult for MA plans as CMS shifts to a more demanding Star rating methodology that will require contracts to perform better to maintain current ratings. For MY 2023, HEDIS added five new measures, retired five measures, substantially changed a measure and made small changes across multiple measures. There were some notable declines in 2023 Star Ratings as metrics normalize following pandemic-related increases. Plan leaders love to believe that cutpoints are predictable, and that prior year cutpoints alone are a reliable predictor of the future. ` L Please check back again as this page is updated on a regular basis. Resist the temptation to add governance, committees, meetings and processes that do not drive new work. The Centers for Medicare & Medicaid Services (CMS) released the 2023 Star Ratings for Medicare Advantage (Medicare Part C) and Medicare Part D prescription drug plans to help people with Medicare compare plans ahead of Medicare Open Enrollment, which kicks off on October 15. See 2023 Rate Announcement at https://www.cms.gov/files/document/2023-announcement.pdf. endstream endobj startxref Osteoporosis is responsible for an estimated two million broken bones per year, yet nearly 80% of o. endstream endobj 821 0 obj <>/Metadata 16 0 R/OCProperties<>/OCGs[842 0 R]>>/Outlines 23 0 R/PageLayout/SinglePage/Pages 818 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 822 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 823 0 obj <>stream The change in distribution from 2022 to 2023 Star Ratings is influenced by changes in measure scores, in both positive and negative directions, and the unusual circumstance of nearly all contracts qualifying for the regulatory adjustment for extreme and uncontrollable circumstances for the 2022 Star Ratings for most measures, resulting in higher than normal 2022 Star Ratings distributions. They could even go lower if underlying performance has deteriorated since rating year 2021.10CMS Star Ratings data (2013 to 2022) and September enrollment data (2013 to 2021). Understanding the 2023 HEDIS and CMS' Star Rating measures and what they mean to your practice will help you better comply with the new requirements, boost your ratings, and improve your # . MA contracts with 4.0-Star ratings would be particularly affected financially by these changes due to the loss of the 5 percent quality bonus (which 3.5-Star contracts are not eligible for). Maintaining a Star rating of four or higher can help plans remain financially stable, offer rich supplemental benefits for members, and compete for the 56 percent of enrollees14Marina Ivanenko, Dan Jamieson, and Cara Repasky, What Medicare Advantage members want from their onboarding experience, McKinsey, April 18, 2022. for whom Star ratings are a top buying factor. There is no time to wait if you own one of these contracts and have any desire to expand in plan year 2024! See also the CY 2022 Rate Announcement at Announcement of Calendar Year (CY) 2022 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (cms.gov) (explaining how the change in the collection of HEDIS data in 2020 resulted in this measure being on the display page for the 2021 and 2022 Star Ratings to comply with 422.164(d)(2)). Our analysis suggests that more contracts will have increased ratings than decreased ratings as a result of weight shifts. The good news for MA plans is that there is still time to act before the measurement period for rating year 2024 closes in December 2022. To order publications, call 888-275-7585 or visit the NCQA Publications website. While we await the full public release of the ratings, we know a great deal already. By eliminating performance outliers from the calculation of Star rating cut points using the Tukey methodology beginning in rating year 2024, CMS will make it more challenging for plans to achieve the performance required to maintain or improve Star ratings. If an average MA plan with 50,000 lives sees 8,500 (17.15%) of their members voluntarily quitting the plan each year, thats a gross margin loss of more than $13.6M that needs to be made up through member acquisition. In 2022, nearly 90% of Medicare Advantage beneficiaries were enrolled in an MA contract rated at 4.0 Stars or higher. Healthcare Payer Resource Center | Cotiviti. H\j@}l/BB.(s?f`D[Sn}fScw9 :bP,jyK;e The Complaints about the Plan measure is a rate of complaints about the plan per 1,000 members. MA plans overall saw an unprecedented improvement in Star performance in rating year 20221Published every year, the CMS Five-Star Quality Rating System measures the quality of health and drug services. The Centers for Medicare & Medicaid Services (CMS) released the 2023 Star Ratings for Medicare Advantage (Medicare Part C) and Medicare Part D prescription drug plans to help people with Medicare compare plans ahead of Medicare Open Enrollment, which kicks off on October 15. The measures in Tables 1-3 are shown in order of which have the largest increases to the largest decreases in scores from the 2021 to 2022 Star Ratings. For MY 2023, HEDIS added five new measures, retired five measures, substantially changed a measure and made small changes across multiple measures. 189102ALL0323 Star measure definitions NCQA copyright notice and disclaimer It was updated to account for members achieving 100% discontinuation without intermediate taper in the measure numerator. In our retroactive analysis, the contracts most affected by cut point changes were those that received 3.5- and 4.0-Star ratings in rating year 2020; 23 percent of these contracts (enrolling 14 percent of beneficiaries) would have had been rated 0.5 Stars lower (Exhibit 4). Cut points are the ranges that a contracts score on a particular measure needs to fall within to achieve each Star value. While the tendency for cut points to become more challenging each year is not new, plans should expect the increase in difficulty to accelerate in the short term. Medicare Advantage and Part D plan costs and covered benefits can change from year to year, so Medicare beneficiaries should look at their coverage choices and decide on the options that best meet their health needs. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). ;;)AqJcA(=M D: #HO8`Fs-{^c5zOg^OMX\8)$T--ZN;wGQx RESOURCES FOR HEALTH PLANS NCQA's Health Plan Ratings 2023 include commercial, Medicare and Medicaid health plans. Generally, higher overall Star Ratings are associated with contracts that have more experience in the MA program. Most measure score changes between the 2022 and 2023 Star Ratings were small overall in both directions. 2023 saw a return to more normal evaluations overall and a return to earth for MA-PD plans. The last row in Table 4 shows the trend in the average overall Star Ratings weighted by enrollment for MA-PDs from 2020 to 2023, after any adjustments for extreme and uncontrollable circumstances. This is particularly noteworthy since there was only one measure added in 2021, so the performance struggle reflects real struggles in long-known, long-established measurement areas. The tables below show the distribution of ratings by the number of years in the program (MA-PDs are shown in Table 8 and PDPs in Table 9 after adjustments for extreme and uncontrollable circumstances). You will be prompted to log in to your NCQA account. During this time, Medicare beneficiaries can compare coverage options, including Original Medicare and Medicare Advantage, and choose high quality health and drug plans for 2023. Rating increases from rating year 2021 to 2022 were 30 to 40 percent higher than the average seen in rating years 2017 to 2021 because the disaster provision enabled contracts to benefit from performance improvements without factoring in performance deterioration. FACT SHEET October 6, 2022 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries 2023 Medicare Advantage and Part D Star Ratings Note: The information included in this Fact Sheet is based on the 2023 Star Ratings published on the Medicare Plan Finder on October 6, 2022. C.b`Q ` 3 Both are currently on the display page and will remain on the display page through 2023. This was notable following the record-high ratings of 2022 when most plans took advantage of being able to choose the better of their measure levels and aggregate performance from 2019 and 2020. 0 This provision was used for an estimated 21 percent of measure ratings nationally (Exhibit 1). An official website of the United States government .gov CMS added verbiage to page one of the Technical Notes signaling more imminent change to come. 3 Different measures have different weights, with the overall calculation based on a weighted average. The. 202-690-6145. Finally, in the fourth year, plans receive bonus payments based on their assigned rating from the prior year.1Stars measurement and rating procedures are specified in Chapter 42 of the Code of Federal Regulations, Part 422, last amended August 10, 2022. The enrollment-weighted average Star rating held steady between 4.0 and 4.1, and the percentage of members in 4.0 Star contracts or higher was consistently 70 to 80 percent between rating years 2016 and 2021. The cut points for this measure, in which a lower score corresponds to stronger performance, increased substantially from rating year 2019 to rating year 2020 as some plans struggled with elevated complaint volumes. This performance improvement was driven by temporary, favorable changes to the Star rating methodology initiated by CMS in response to the COVID-19 pandemic and ongoing investments by plans in quality improvement initiatives (see sidebars, How ratings cycles work and Medicare Advantage Star ratings rose to all-time highs in 2022). Section 3014 of the Patient Protection and Affordable Care Act establishes the CMS Pre-Rulemaking process for the selection of measures for adoption in U.S. Department of Health & Human Services programs. Never miss the latest CMS newsget a full breakdown delivered straight to your inbox whenever new guidance is released. Stars measurement and rating procedures are specified in Chapter 42 of the Code of Federal Regulations, Part 422, last amended August 10, 2022. CY 2023 Medicare Advantage and Part D final rule (CMS-4192-F), CMS, April 29, 2022. Recompute your overall ratings with/without Improvement measures, and make sure you have no math errors. In 2023, CMS is set to increase the weighting of member experience measures in the Star Ratings System to promote value-based care. In 2023, with the Star Rating removals, temporary suspensions, and proposed additions, Member Experience measures will account for 60% of the ratings. However, for plans that successfully adapt to a more demanding Star ratings environment, quality may emerge as a source of competitive advantage. Second, CMS will implement annual upper and lower limits, or guardrails, on changes in cut points for non-CAHPS5Consumer Assessment of Healthcare Providers and Systems (CAHPS), a survey that CMS uses to assess patient experience of care. It is the first of many years of intense competition, significant program and performance changes, and CMS use of MA plans to change healthcare. Simply put, almost half of all Medicare Advantage contracts did not achieve at least a 4.0-Star Rating, and those contracts compete for only about 28% of all Medicare Advantage members. Average ratings in 2022 were 4.37, while for 2023, average ratings were 4.15. Before sharing sensitive information, make sure youre on a federal government site. [6] The 2022 Star Ratings included measure-level adjustments for other (non-HOS) measures under the extreme and uncontrollable circumstances rules as a result of the COVID-19 PHE. ) A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The newest additions to HEDIS address pediatric dental care, safety and appropriateness, diabetic care and social needs screenings and interventions. As announced in the May 2020 final rule, the weight of these measures has been gradually increasing since rating year 2020, shifting the calculation of Star ratings from a focus on process, outcomes, and improvement to a focus on member experience, which we estimate will be 57 percent of weighting by 2023.3Stephanie Carlton, David Malfara, Kevin Neher, and Cara Repasky, New Stars ratings for Medicare Advantage prioritize customer experiences, McKinsey, October 15, 2020. For example, for most measures, if a measure-level Star Rating was lower for the 2022 Star Ratings relative to the prior year, the measure-level Star Rating (and numeric score) reverted to the rating (and numeric score) from the 2021 Star Ratings (see 42 C.F.R. The national average rate decreased for 65% of this years measures and, despite cutpoints being calculated in a way that assigns ratings which account for these drops, the national average rating decreased for 85% of measures. [7] 42 C.F.R. Improvement in CMS Star Ratings isnt about any one thing. Fact sheet - 2022 Part C and D Star ratings, CMS, October 8, 2021. Tables 1-3 below include information at the national level about the overall change in contract-level average measure scores (i.e., unweighted by the size of the contract) from the 2021 to 2023 Star Ratings (for all measures without a substantive specification change across the three years). Please check back again as this page is updated on a regular basis. When actual performance declines are combined with the 2021 increase of Patients Experience and Complaints measures to 4x, many plans ratings dropped. The new Tukey outlier removal methodology will mean that poorly performing plans will no longer bolster the ratings of other plans. 202-690-6145. The average change in cut points for 4-Star ratings was 5 percent from 2019 to 2020, with individual cut points changing by as much as 10 percent (Exhibit 2). 2023 Medicare Advantage and Part D Star Ratings Fact Sheet, With roughly 70% of Medicare members and 81% of Medicaid members completing an AWV before completing any other high-value activity. Implementation was delayed by one year in an interim final rule with comment that appeared in the Federal Register on April 2, 2020, so cut points for the 2022 Star Ratings (based on 2020 measurement year) could change by more than 5 percentage points if national performance declined as a result of the COVID-19 PHE. Assign roles and accountability for results but leave as much workday time free as you can to help those who need to act quickly to think thoroughly through situations, to schedule the time they need to execute the work, and to execute. To understand the potential effect of cut point methodology changes on MA contract Star performance, we retroactively analyzed the impact they would have had on performance in rating year 2020. On April 4 th, 2022, CMS released their 2023 Medicare Advantage and Part D Rate Announcement. Star Ratings are released annually and reflect the experiences of people enrolled in Medicare Advantage and Part D prescription drug plans.
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