Case Study: How one plan transformed its Star Ratings strategy

In today’s Medicare Advantage (MA) landscape, maintaining a high Star Rating is more challenging than ever. Centers for Medicare & Medicaid Services (CMS) regulations continue to evolve, quality measures are shifting, and performance thresholds are rising. As a result, MA plans face mounting pressure to adapt or risk falling behind.

The stakes have never been higher. In the 2022 Star Ratings, 74 Medicare Advantage contracts earned a five-star rating. By 2025, that number had dropped dramatically to just seven. This sharp decline highlights a harsh reality. Achieving and sustaining high performance is now the exception, not the norm.