“In light of the rulings issued in SCAN Health Plan v. Department of Health and Human Services and Elevance Health v. Department of Health and Human Services, CMS will recalculate and update the Star Ratings for Contract Year 2024 (CY 2024) used for Contract Year 2025 (CY 2025) Quality Bonus Payments for impacted contracts as required by the court remedy,” CMS said in a statement. “CMS will recalculate the Star Ratings for CY 2024 using the actual cut points established for the CY 2023 Star Ratings, not the CY 2023 Star Ratings cut points calculated after removal of Tukey outliers, as the basis for guardrails for the CY 2024 calculations.” ARTICLE
Click here to read or download the CMS Updated QBP Ratings Memo: https://s3.documentcloud.org/documents/24752799/cms-updated-qbp-ratings-memo-61324.pdf