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Aetna Medicare Advantage Plans Earn 4-Star Ratings for 69% of Members

Summarized from All Financial Services & Investing

Aetna says over 69% of its Medicare Advantage members are enrolled in plans rated 4 stars or higher by CMS for 2027.

Aetna Medicare Advantage Plans Earn 4-Star Ratings for 69% of Members

More than 69 percent of Aetna's Medicare Advantage members are enrolled in plans rated at least 4 stars out of 5 by the Centers for Medicare & Medicaid Services for the 2027 plan year, the CVS Health subsidiary announced Thursday from its Hartford, Connecticut, headquarters.

The CMS star rating system evaluates Medicare Advantage plans on a range of measures, including clinical quality outcomes and member experience. Plans that achieve 4 stars or higher are generally considered high-performing under the federal program's benchmarks, and the ratings carry meaningful implications for plan bonuses and beneficiary enrollment decisions.

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Aetna's performance places a substantial majority of its Medicare Advantage membership in top-tier rated coverage, a result the company attributed to what it described as strong clinical quality and member experience scores. CVS Health, which trades on the New York Stock Exchange under the ticker CVS, has been working to integrate Aetna's health plan operations into its broader healthcare services strategy since acquiring the insurer in 2018.

The 2027 star ratings arrive at a competitive moment for Medicare Advantage insurers, as federal regulators have intensified scrutiny of plan quality and payment accuracy. Higher star ratings can translate into additional revenue for insurers through CMS quality bonus payments, making the annual ratings release a closely watched event across the managed care industry.

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Frequently Asked Questions

Q.What percentage of Aetna Medicare Advantage members are in 4-star plans for 2027?

More than 69 percent of Aetna's Medicare Advantage members are enrolled in plans rated 4 stars or higher by CMS for the 2027 plan year.

Q.Who rates Medicare Advantage plans and what is the highest possible rating?

The Centers for Medicare & Medicaid Services rates Medicare Advantage plans on a scale of 1 to 5 stars, with 5 being the highest, based on clinical quality and member experience measures.

Q.What company owns Aetna?

Aetna is a subsidiary of CVS Health, which trades on the New York Stock Exchange under the ticker symbol CVS.

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