2024 Star Ratings Plan Year Results
On Oct. 13, the Centers for Medicare & Medicaid Services (CMS) released UnitedHealthcare’s 2024 Star Ratings plan year performance for Medicare Advantage plans (including individual, Group Retiree and Dual Special Needs Plans) and Prescription Drug Plans (Part D).
As an agent, what does this mean?
· You are required to communicate the 2024 Star Rating for the plan(s) you present during formal and informal marketing/sales events and presentations, one-on-one marketing appointments or telephonically.
· You must use updated ratings information within 21 calendar days of the release, meaning that beginning Nov. 3, 2023, you are required to distribute the 2024 Star Ratings information from Medicare.gov with the Enrollment Guide as well as refer to the new information at the point of sale.
Highlights from UnitedHealthcare Star Ratings
At UnitedHealthcare, our long-term commitment to quality means providing the people we serve with the highest quality benefits, access to care and experience. We continue to have more people in 4 and 4.5-star plans or higher than any other carrier in the industry and over half of our members are in a 4.5-star plan or higher. For 2024 Star Year Ratings 79% of our Medicare Advantage members are in 4-star plans or higher.
Approximately 7.3 million of our Medicare Advantage members (or 79% of our total membership) will be in 4-star plans or higher for Contract Year 2024/Star Year 2024. This is more people than any other carrier in the industry1. UnitedHealthcare has now led the industry in members in 4+ star plans for 8 years2.
These results reflect advancements in our core star performance and remain consistent with our long-term planning expectations. While these results may differ from previous years, it is important to note they reflect expected movements from our prior year Star Ratings due to CMS policy and performance calculation changes to the stars program, which increased the threshold for the 4-star rating, with industry average at 71%.
Our focus remains on providing the highest quality care, benefits and experience to help our members live their healthiest life. We achieve this through industry-leading value-based care partnerships, personalized member service and care coordination, and innovative customer solutions.
As we look toward 2024, we will continue to focus on innovating and investing in activities that help members use their benefits and access care and medications to improve health outcomes. We will work with providers, pharmacies and other partners to align incentives and create solutions that improve the patient experience, reduce provider burden and continue transforming the health system to better serve our members.
· We will continue to support our members in achieving their health goals, with enhanced focus in coordinating care, aiding members in managing their health activities, receiving their medications, and improving their experience with the health plan and care providers.
· We’ll continue to provide industry leading experiences that allow members to use their benefits and access care and medications the best way for them, whether that be in-person, over the phone, or digitally.
· We’ll increase collaboration and value-based care with providers to drive better care access, coordination and health outcomes for our members.
Navigating consumer conversations
Star Ratings will come up in conversations with consumers this Annual Enrollment Period (AEP). Please refer to the Star Ratings Agent FAQ for answers to commonly asked questions you may receive from consumers. You can find it at: Jarvis > Knowledge Center > Learning Lab > Content Library > Star Ratings.
Star Ratings are published by the Centers for Medicare & Medicaid Services (CMS). Access the new Ratings on the Medicare.gov website.
Every year, Medicare evaluates plans based on a 5-star Rating system. A 5-star Special Enrollment Period may be used one time between Dec. 8, 2023 and Nov. 30, 2024, provided the individual meets the plan’s enrollment.
1 Per https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData as of October 13, 2023 (file titled 2024 Star Ratings Data Tables (ZIP) (accessed Oct 13, 2023))
2 Per https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData as of October 13, 2023 (Zip files titled 201X_Star_Ratings_and_Display_Measures or 201X Star Ratings and Display Measures)
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