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Featured Infographic
United, Anthem Take a Hit in 2021 Star Ratings; Other
Top Payers Hold Steady
Medicare Advantage Prescription Drug (MA-PD) plans saw
somewhat of a reversal of fortune in their 2021 star ratings, according to
CMS's Oct. 8 data release. The agency reported that 77% of MA-PD members
are enrolled in a plan rated at least 4 stars overall, compared to 81% in
the 2020 plan year. Stand-alone Prescription Drug Plans (PDPs) saw a
similar decline, with 17% of members enrolled in a PDP rated 4 stars or
above, down from 28% this year. Among the top five MA-PD payers,
UnitedHealthcare and Anthem, Inc. lost the most ground in the ratings.
United's share of members enrolled in plans rated 4 stars or above shrank
from 84% to 74%, while Anthem's dropped from 58% to 51%. Humana Inc. and
CVS Health Corp.'s Aetna fared better, holding steady to 2020's numbers at
92% and 83%, respectively, though Aetna did lose its only 5-star contract.
Kaiser Permanente, meanwhile, repeated its stellar 2020 performance, with
94% of its MA-PD members enrolled in a 5-star contract. See the full
ratings distribution for all contracts below, plus the ratings and
enrollment distribution for the top five payers.
*Enrollment figures represent the sum of Kaiser's seven
regional managed care organizations.
NOTE: Analysis does not include enrollment data from contracts that were
too new to be rated, or did not have enough data available to measure a
star rating.
SOURCE: CMS; DHP, AIS's Directory of Health Plans.
Subscribers may read the RADAR on Medicare Advantage article in
which this infographic appeared online. Learn more about
subscribing to AIS Health's publications.
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