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CMS Mulls Income-Adjusting MA Stars
HealthLeaders Media

Under pressure from healthcare industry stakeholders and Congress, federal officials are considering making adjustments to the Medicare Advantage star rating program for quality and bonus payments to reflect the impact of socioeconomic status.

In early September, the Centers for Medicare & Medicaid Services requested comments on whether the MA star rating program should be risked-adjusted for SES. The focus of the federal agency is on dual-eligible beneficiaries: low-income individuals who are eligible for both Medicare and Medicaid services. “CMS seeks analyses and research that demonstrate that dual status causes lower MA … quality measure scores,” agency officials said in the “request for information” document.