Medicare Advantage (MA) star ratings have declined for the third consecutive year, with only 40% of plans achieving four stars or higher in 2025, down from 68% in 2022. The average star rating is expected to drop from 4.07 to 3.92, influenced by increased cut points and changes in performance measures. Insurers are expressing frustration with the ratings, with some, like Humana and UnitedHealth, taking action against the Centers for Medicare & Medicaid Services.
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