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Thirty-four MA plans earned 5 stars in 2026 star ratings.
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
The organization attributes the results to its insurance business units, notably Highmark Health Plans and HM Insurance Group.
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
CMS believes that eligibility systems in a number of states are programmed incorrectly, possibly leading to disenrollments.
An internal investigation finds the private information of approximately 11 million patients was compromised.
Significantly, 37 plans earned 2.5 stars, compared to just two last year, while four plans earned two stars.
CVS Health is among several potential buyers for the company, according to the WSJ.
The majority of hospitals received 3 or 4 stars, with 890 hospitals getting 4 stars and that same number receiving 3.
The groups said PBMs engage in anticompetitive practices that increase drug prices and limit consumer choice.
