On October 6, 2022, CMS published the 2023 Medicare Advantage (MA) and Part D Star Ratings. The latest results indicate a drastic decrease in average Star Ratings, mainly attributed to the removal of COVID-19 protections CMS put in place for the 2022 Star Ratings. This brief discusses the overall changes seen in the 2023 Star Ratings and dives further into some of the drivers behind the significant decline in ratings.