With the release of the Contract Year 2024 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Final Rule on April 5, 2023, CMS has outlined changes in the Star Rating program intended to incentivize MAOs to focus on improving care for enrollees with social risk factors. This whitepaper examines the variation in Stars measure performance between enrollees with and without social risk factors.

The Impact of Social Risk Factors on Medicare Star Rating Performance: Differentiation in HEDIS® and Medication Adherence Performance