What to Know About 2025 Medicare Advantage Star Ratings

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The 2025 Medicare Advantage Star Ratings highlight a shifting landscape for health plans, with an increased emphasis on patient-reported outcomes and quality of care. At Ash, we recognize the vital role innovative solutions, such as at-home health testing, play in helping health plans meet and exceed performance benchmarks. Here’s an overview of the latest ratings, comparisons to previous years, and how Ash can support plans aiming to improve their scores.

What Are Star Ratings?

Medicare Advantage Star Ratings evaluate health and drug plans across multiple dimensions, including member satisfaction, quality of care, and service access. Ratings range from 1 to 5 stars, and directly impact reimbursement, enrollment opportunities, and member retention.

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Why Medicare Advantage Star Ratings Matter

With the growing emphasis on quality care and member experience, health plans must adapt quickly to meet these expectations. Partnering with Ash ensures plans have the tools they need to tackle key challenges, from improving preventive care to supporting chronic condition management.

By integrating at-home health testing solutions, health plans can close morereduce gaps in care, improve member engagement, and achieve higher Medicare Advantage Star Ratings. At Ash, we’re committed to helping your health plan thrive while keeping your members healthy, happy, and engaged.

Key Highlights of the 2025 Star Ratings

1. Decline in High Ratings: A noticeable drop in the number of plans earning 4 or more stars reflects stricter benchmarks from the Centers for Medicare & Medicaid Services (CMS).
2. Patient Experience Dominates: Consumer Assessment of Healthcare Providers and Systems (CAHPS) measures now carry more weight, emphasizing the importance of member satisfaction and experience.
3. Preventive Care Gaps: Many plans continue to struggle with preventive care measures, a critical area for improving overall ratings.

Comparison to Previous Years

Compared to 2024 star ratings and other previous years, the 2025 ratings indicate a growing challenge for plans to maintain high scores. Stricter criteria, combined with an increased focus on patient-reported outcomes, means health plans must adopt proactive strategies. This is where solutions like at-home health testing can make a measurable difference, helping plans close care gaps, improve health care access, and enhance member satisfaction.

How Ash Can Help Plans Improve Star Ratings

1. Streamlining Preventive Care: Preventive care metrics remain a significant focus in Medicare Advantage Star Ratings. Ash at-home health testing solutions empower members to easily complete screenings for diabetes, cholesterol, and other conditions—all from the comfort of their homes. These services not only improve care access but also reduce barriers that might prevent members from seeking traditional in-office care.
2. Improving Member Satisfaction: Member engagement is critical for improving CAHPS scores. By offering user-friendly and accessible testing options, Ash helps enhance the overall member experience. Members appreciate the convenience of managing their health without the need for travel, improving satisfaction and retention rates.
3. Enhancing Chronic Condition Management: Chronic condition management is another cornerstone of how to improve Star ratings. Ash supports plans by delivering at-home monitoring and testing solutions that facilitate early detection and better disease management. This proactive approach directly impacts plan performance metrics for managing chronic illnesses.
4. Reducing Health Disparities: At-home testing helps address inequities in healthcare by reaching underserved populations. This aligns with CMS’s push for inclusive care delivery and contributes to higher ratings in health equity measures.

Ready to transform your Star Ratings?
You can contact us here for more information on how Ash can support your healthcare initiatives!