In the ever-evolving healthcare landscape, changes are on the horizon for the Centers for Medicare and Medicaid Services (CMS) Star Ratings Quality Measures program. With the 2026 Star Ratings release, CMS will factor risk adjustment metrics into overall Stars performance.

The integration of risk adjustment with quality measures will require health plans to break down silos. These efforts will foster collaboration and leverage data to improve performance. With major shifts underway, achieving and sustaining 4+ stars will require organizations to further evolve an enhanced member-centric approach.

Read this white paper to discover how health plans can take steps now to influence future Star Ratings, including:

Breaking down silos to successfully integrate quality, analytics and risk management teams
How to better invest in member engagement through coordinated activities
Ideas for building health equity through member engagement
Ways to effectively close data gaps and improve accuracy to gain credit for performance