Why Star Ratings matter and why we need your support.

Medicare star ratings and how you make a difference

Every October, Medicare Advantage plans receive a Star Rating based on the care and experience they provided their members in the previous year. This rating is from 1 to 5 stars, with 5 stars being the highest performing. Higher performing plans receive higher rebate rates from CMS; plans that are 4-star or better also receive bonus payments. This funding helps us continue to keep premiums low and provide essential supplemental benefits, including the recommended preventive care that improves health outcomes.

Our 2025 star rating

Our HMO plan, which serves 98% of our membership, received a 4-star rating for 2025 (based on performance from 2023). CMS continues to make changes to the Star Rating program, reducing the number of 5-star plans. This year, the number of plans earning a 5-star rating dropped from 38 in 2024 to just 7 out of the 521 that received a rating.

Your role in star ratings

Now, more than ever, we need your support. Over 57% of the overall Medicare Star Rating is made up of measures that can be impacted by our members’ providers. Some of the areas you influence include:

• Cancer screenings: Breast and colorectal screening
• Disease management: A1c control, blood pressure control, kidney screenings, eye exams for diabetes, and appropriate statin prescriptions
• Patient experience: Supporting access with routine and acute care needs
• Medication adherence: Diabetes, hypertension, and statin medications
• Preventing readmissions
• Discussing important health topics: Physical activity, urinary incontinence, and fall prevention

We appreciate your support

The work you do can help stabilize our 4-star rating and ensure we continue to provide competitive, high-quality health plans to our members. Every phone call, every office visit, every gap closed, and every record received can make a huge difference.

Thank you for supporting our goal of ensuring every member receives the care they deserve. We cannot achieve this success without YOU.