Oops, Let’s Do It Again: CMS Announces Sweeping Changes to 2025 Quality Bonus Payments

On June 14, 2024, the Center for Medicare and Medicaid Services (CMS) announced that they will recalculate the 2024 Star Ratings for the purpose of determining 2025 Quality Bonus Payments (QBPs), following recent court rulings in favor of SCAN Health Plan and Elevance Health, Inc. As a consequence of this decision, many Medicare Advantage (MA) plans will undergo an expedited bidding process, updating their bids to reflect higher QBPs. The new bids must be submitted to CMS by June 28, 2024. These recent and ever-evolving developments introduce considerable uncertainty and raise new questions about market dynamics for the year 2025.

Oops, Let's Do It Again: CMS Announces Sweeping Changes to 2025 Quality Bonus Payments

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