Medicare Advantage star ratings: COVID–19 impacts on 2021 and 2022 star rating calculations

Medicare Advantage star ratings are paramount to the success of contracts because of their impact to enrollment and financials. The healthcare industry relies heavily on historical claims data to assess performance of providers and health plans. This white paper details the basics in star-rating calculations and the changes published in the interim final rules (IFRs) published by the Centers for Medicare and Medicaid Services as a result of COVID-19, for the years 2021 and 2022.