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Webinar: Implications of the 2025 CMS Final Rate Announcement for quality programs

Author Marge Ciancetta

In February, the proposed changes announced in the 2025 Medicare Advantage (MA) and Part D Advance Notice released by the Centers for Medicare & Medicaid Services (CMS) allowed plans to prepare for updates to payment factors impacting their risk adjustment and quality programs before official notice of set rates.

With the publication of the Final Rate Announcement, payments to MA plans include up to a 3.70% increase on average, or over $16 billion compared to 2024—the same as CMS proposed in the Advance Notice, despite industry advocates arguing that a higher rate increase is warranted. Federal payments are projected to contribute up to $600 billion to MA plans total. However, changes to the Star Ratings program specifically are expected to decrease payments to plans by 0.11%.

About the Author

Marge is the product manager of Cotiviti’s Star Intelligence solution, which helps health plans and providers improve their quality ratings and star scores. She ensures that Star Intelligence represents the voice of Cotiviti’s customers and aligns with industry best practices. She also works closely with our development team, as well as with customers and stakeholders, to ensure that their feedback is incorporated into the product roadmap. With over a decade of experience in the quality space, Marge has a unique perspective on the challenges and opportunities facing health plans and providers today.

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